Name:
Spouse:
Street:
Town:
Telephone:
Children:
Child 1:
Child 2:
Child 3:
Child 4:
Child 5:
Please pledge the amount you can give at the weekly collection. For more information, see Giving Guidelines:
My/Our weekly pledge is: $25.00$20.00$15.00$10.00Other Other:
Please tell about yourself and your family. Please include any interests, special talents, etc. that you might share with the parish: