Saint Margaret’s Fellowship                   Date _____________    Pg 1 of 2
Membership Application    (e.g. Jun 27, 2009)

Last Name ________________________________________________________

Parent(s) First Names _______________________________________________

Street Address _____________________________________________________

City_______________________________________ State_______ Zip _______

Home Phone_________________  Email _______________________________

Parish/Church_______________________________ City _______ State ______

Do you want a family picture included in the directory? Y/N  ____  If yes, Email to:
Matt Frederes - matt@paradisesoftware.net or enclose a picture with this application.

We would like to know how you heard about us and tell us who, if anyone, you have
personally met that is a member of St. Margaret’s.

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________



St. Margaret’s Fellowship operates with the permission and blessing of the Bishop
of the Catholic Diocese of Sioux Falls.  The Diocese requires a criminal background
check and Safe Environment for Ministry training of all adults working with
St Margaret’s Fellowship children.

I have enclosed the following    Dues       $30.00
Please assign check to SMF           Donation_______

Total Enclosed                                                    _______

Please mail your application & check to: St Margaret's Fellowship c/o Colleen Juba
502 East 8th St,  Dell Rapids, SD 57022


Page 2/2
Membership Application for ________________  ___________________
   Last NameFirst Name


Children’s First Name(s) Birth Date M/D/Y Grade

1) ________________________________________   ________________   _______

2) ________________________________________   ________________   _______

3) ________________________________________   ________________   _______

4) ________________________________________   ________________   _______

5) ________________________________________   ________________   _______

6) ________________________________________   ________________   _______

7) ________________________________________   ________________   _______

8) ________________________________________   ________________   _______



Comments:  _____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Thanks for your interest in home schooling and especially in St. Margaret’s Fellowship!

Click on and download the application form button OR print the form below and mail to:
Colleen Juba
502 East 8th St
Dell Rapids, SD 57022
Membership Application
St Margaret's Fellowship

This page was last updated: September 26, 2009