Family of the Month Entry Form

Due by the 15th day of the following month.

Fully complete this report form by listing the family's information and qualifications. This will also ensure that the family is entered in the Supreme Council Family of the Month Contest.

1. Jurisdiction

2. Council Information *This question is required.

Council Number
Grand Knight First Name
Grand Knight Last Name
Grand Knight Email Address

3. Winning Family's Last Name *This question is required.

4. Month of Selection *This question is required.

5. Winning Family's Mailing Address *This question is required.

First Name
Last Name
Mailing Address 1
Mailing Address 2
Mailing City

6. Winning Family's Mailing State/Province *This question is required.

7. Winning Family's ZIP/Postal Code *This question is required.

8. Winning Family's Mailing Country *This question is required.

9. Number of Children in Family

10. Please describe how this family exemplifies faith, service, and community involvement. Include their participation in parish life, support of Knights of Columbus programs and activities, volunteer efforts, charitable works, and contributions to the local community, and why they should be named Family of the Month. *This question is required.