Knights of Columbus Interest Form

All information collected on this form will be used only for the purpose of contacting you about your interest in the Knights of Columbus and will not be stored, sold or utilized for any other purpose.

E-mail Address: *
Full Name *
Address (Street, City, State, Zip Code) *
Are you married? *Yes
No
Do you have children? *Yes
No
Are you a practical Catholic? *Yes
No or Not Sure
Telephone number (10-digit) *
Are you registered in a Parish? *Yes
No
Name and Location of Parish. *
How would you like to be contacted? *
Contact me by email
Phone me and speak to me in person
Phone me and leave a message if I am not in
What is the best time to contact you? *
Before noon
Noon to 6:00 PM
After 7:00 but before 10:00
Are you a new member or a transfer? *
New Member
Transfer
Is there a Council that is of interest to you? *
Yes
No
If yes, do you know the Council number?
If yes, do you know the Council name?
* Required