Membership Application/Renewal

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We’d love to have you join our group and grow further in spirituality, service and leadership! Please fill out the form below with your information. Note, you will not be fully registered until the annual membership dues of $15.00 are paid. Mail to our Treasurer Attn: CCW Treasurer, 110 Saint Mary Ave SW, Fort Walton Beach, FL 32548 or bring it to our First Friday meeting.

Name *

Address

Home Phone

Cell Phone

Birthday

YYYY

Marital Status

Married

Single

Widowed

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Are you able to attend 8:15 am Mass and monthly First Friday meetings?

Yes

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What are your talents, skills and interests? (check all that apply)

Baking/Cooking

Reading

Traveling

Technical/Media

Math/Accounting

Planning and Organizing Events

News/Legislation/Politics

Paliamentary Procedures

Spirituality (Integration of Spiritual Practices)

Sewing or Quilting

Knitting or Crocheting

Arts and Crafts

Community Service/Volunteerism

Dancing

Music

Favorite Collection

Other:

Do you have any other God-given talents?

By joining St. Mary Council of Catholic Women do you agree to receive the Pensacola-Tallahassee Diocesan Council of Catholic Women Quarterly Pencil Points E-Newsletter?

Yes

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By joining St. Mary Council of Catholic Women do you agree to allow photos of yourself to be published on CCW media?

Yes

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Submit

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