St. Jude Thaddeus Parish, PHHC, Tacloban City (COVID Register)

We humbly ask you fill-out the form TRUTHFULLY. Once contact tracing is implemented, these pieces of information will serve its purpose.

Date / Time of the Mass to be participated *

Date

Time

Name *

First

Middle

Last

Mobile *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone