Membership Form

Knights of Columbus – Membership Application

Membership Document – Knights of Columbus

A Catholic, Family, Fraternal, Service Organization
When complete, please click on Print at the bottom of this page and drop off at any of the three churches.
1 Last Name First Name Initial Rank or Title
Street Town Prov Postal Code
Number of years at this address   e-mail

2 Telephone Date of Birth Marital Status
Occupation Soc. Ins. No. Employer
K of C Ins. Certificate Numbers Former Columbian Squire?

3 Are you a Practical Catholic in Communion with the Holy See?

Name of Parish
Did you apply for membership previously?

Degrees received and dates 1 2
3 4
4 Number of Last Council Location
Date of Termination of Membership
Reason for Termination
5 I hereby declare that the above is true and correct and that I will uphold
the charter, constitution and laws of the Knights of Columbus and any of its councils in which I hold
membership and agree that the decision of the Board of Directors shall control in all matters.
I Agree


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