St. Patrick's Member Questionnaire
Name
Your answer
Your Birthday
MM
/
DD
/
YYYY
Spouse's Name (If applicable)
Your answer
Spouse's Birthday (if applicable)
MM
/
DD
/
YYYY
Email
Your answer
Address (Street, City, State, Zip)
Your answer
Best phone number to reach you
Your answer
Alternate Phone number
Your answer
Do you have children in your household?
If yes, please list their names and birthdays
Your answer
Are you Baptized?
What is the date of your Baptism? (If known)
MM
/
DD
/
YYYY
Are you Confirmed?
What is the date of your Confirmation? (if known)
MM
/
DD
/
YYYY
How did you find out about St. Patrick's?
Your answer
What are your favorite things about St. Patrick's?
Your answer
Comments / Things you'd like us to know
Your answer
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