New Member Registration Form

The Church of St. Gerard Majella

Family Name (last)
Phone Phone - ### - ### ####
Phone Unlisted?

Phone Unlisted? Yes No
Ethnicity (optional)
Primary Language in the Home
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
How did you find the Church of St. Gerard?

How did you find the Church of St. Gerard? Driving by the church Recommended by a friend Facebook Internet search Church finding website Other
If "Other" please specify:

How useful were the following in finding out more information about us?
	Very Useful	OK	Not Useful	I didn't use
St. Gerard website	St. Gerard websiteVery Useful	St. Gerard websiteOK	St. Gerard websiteNot Useful	St. Gerard websiteI didn't use
St. Gerard facebook page	St. Gerard facebook pageVery Useful	St. Gerard facebook pageOK	St. Gerard facebook pageNot Useful	St. Gerard facebook pageI didn't use
St. Gerard app	St. Gerard appVery Useful	St. Gerard appOK	St. Gerard appNot Useful	St. Gerard appI didn't use
St. Gerard bulletin	St. Gerard bulletinVery Useful	St. Gerard bulletinOK	St. Gerard bulletinNot Useful	St. Gerard bulletinI didn't use