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