Malawi Sister Parish Committee Contact Information Form

Date:

Name:

Street Address:

City:

Zip:

Home Phone:

Cell Phone:

E-Mail:

What is the best way to reach you?

Emergency Contact Info:

Name:

Relationship:

Phone:

How long have you been attending Holy Family?

Are you a registered member?

What gifts or skills are you excited to bring to this Committee?

Do you have any contacts that might aid the Committee’s efforts? (Company matching, access to medical supply donations, relief organization contacts, etc)

Thank you for taking the time to complete this form for our records!