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Faith Formation Media Request

- Faith Formation
Contact Us
- Kathy Lantzky
  
  Administrative Asst. to the Tribunal and Faith Formation Depts.
  
  563-888-4233
  lantzkydavenportdiocese.org

Resources from the Faith Formation Media Library may be checked out for an initial period of one month, with the possibility of renewal. After completing and submitting this request form, we will check inventory and let you know whether the item is currently available. Arrangements can then be made either for pick up at the Chancery or to have the materials mailed/delivered to the parish. Click here to view the Media Library Catalog.
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parish, City REQUIRED Please fill out this field.
- .
  
  My Role in the Parish is: REQUIRED Please fill out this field.
  
  If Other, Please indicate your Role Please enter valid data.
- Contact Information - Please provide at least ONE Phone Number and E-mail Address
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- I am requesting the following item: REQUIRED Please fill out this field.
- .
  
  Please select your delivery method REQUIRED I will pick up at the Chancery Please mail/deliver to the Parish Please fill out this field.
  
  Individuals may pick materials up at the Chancery (780 W Central Park Ave) or they will be mailed to parishes outside the Quad Cities at no charge.
- Date Item Needed REQUIRED Please fill out this field. Please enter a date.
- Acknowledgements
  
  Ministry Involvement Policy
  
  Media items are distributed for use in parish ministry efforts. Ministry involvement may be verified with the parish prior to distribution of materials.
  
  I have read and understand the Ministry Involvement Policy Please select this field.
  
  Replacement Policy
  
  The requesting individual is responsible for the replacement cost of materials, should items be lost or damaged while checked out.
  
  I have read and understand the Replacement Policy Please select this field.
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