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