Application



	Holy Family [Council Number 9792] � 3401 Lower Roswell Road � Marietta, GA 30068 � (770) 973-0038 �

Membership Application

For your convenience, we have adapted the Knights of Columbus Membership Application form so that you can start the "ball rolling." We will use this information to fill out the formal application. Then, we will invite you over so that we can get to know each other.

Name:
Street:
City:
State:
Zip Code:
Phone:
Email:
Date of Birth:
Employer:
Former Columbian Squire:
Practical Catholic:
Name of Parish:
Previous K of C Member?
Degree Received? (if yes above)
Number of last Council:
Reason for Termination: