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Membership Information
St. Gertrude Parish
Name (Last, First, Middle) *
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Birth Date *
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YYYY
Home Address, City, State, Zip *
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Phone *
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Email
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Employer/Occupation
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Religion *
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Baptized
Date of Baptism
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Interests, Hobbies (eg. Fishing, Reading, Wood working)
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How would you like to support your Parish? *
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