Entry form for applying to the ADMA  association

annexed to the Shrine of Mary Help of Christians in Turin-Valdocco

From  the local ADMA chapter in....(1).......................................................................

Name of the Institution....(2)............C.A.P (3)....................................................

Province....................Diocesis...........................Country.........................................

Annexed to (4)........................................................................................................

Saint's name honoured in the Parish or chapel..................................................

....................................................................  ........................................................

Date of the Canonical Erection by the Salesian Provincial...............................

of the local  ADMA.................................................................................................

Full address..............................................................................................................

.....................................................................................................................................

Spiritual Director......................................................................................................

In-charge lay-man (President)...............................................................................

Canonical Superior of the Institution......................................................................

...................................................................................................................................

  Signature of the Rector of the Institute

 .............................................................

  Date.................

(1) Name of the City

(2) Name of the Institute : Institute, Hostel, House, Community, Parish, Youth 

  Center...............................................................................................................

(3) Postal Code or Zip Code where it is eventually used

(4) SDB Institution, FMA, diocesan establishment............................................

(5) Surname, name, position of the Superior of the Institute: Director,

  Directress, Parish Priest, etc.

  PS. We invite to properly write the address as it is required in 

  the various countries :