Fiat Waitlist

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Birthday REQUIRED Please fill out this field. Please enter valid data.

Husband's Name REQUIRED Please fill out this field. Please enter valid data.

Number of Children and Ages REQUIRED Please fill out this field. Please enter valid data.

Affiliation with Holy Family REQUIRED Parishioner Holy Family Academy Parent Parishioner | Holy Family Academy Parent Please fill out this field.

Any medical restrictions/needs that our core leadership team should know about? REQUIRED Please fill out this field.

In addition to the scheduled group meeting times, when would work for you to meet with your small group? REQUIRED Weekday Mornings Weekday Evenings Weekend Mornings Weekend Evenings Please fill out this field.

What is one hope you have in choosing to participate in a year of FIAT? REQUIRED Please fill out this field.

What gifts can you bring to this group? REQUIRED Please fill out this field.

Is there anything else our core leadership team should know about you? REQUIRED Please fill out this field.

Please include me in this year's FIAT directory (shared only with other members). REQUIRED Yes No Please fill out this field.

I give permission for pictures taken of me to be used in e-mails or parish communications. REQUIRED Yes No Please fill out this field.

5900 West Lake Street	Phone: 952.929.0113	Office Hours (Mon.-Fri.):	Email:
St. Louis Park, MN 55416	Fax: 952.915.1474	8:30 AM - 4:30 PM	staff@hfcmn.org