Congregation of the Good Samaritan

Oblate Application

 

Email Address:

Full Name:       

Street Address:

                        

Mailing Address:

                         

Parish:                

Address:            

                         

Priest/Senior Warden:

Baptism:         Place:  Minister:

Confirmation:  Place:  Bishop: 

Spouse's Name:  Anniversary:

Children:

Clergy:

DeaconPriestBishopDeaconess

Date of Ordination/Consecration/Commissioning:

Essay:

We will need copies of your Baptismal, Confirmation, Marriage and/or Ordination certificates.

There are several ways you can get them to us:

Fax them to (866) 941-5261

Scan and email them as an attachment to mailto:frjohnbenedict@cgsorder.com

Mail copies to:

The Congregation of the Good Samaritan
P.O. Box 527
Rye, Tx 77369

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