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  • Family Name REQUIRED

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  • Home Address REQUIRED

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  • Telephone Number REQUIRED

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  • E-Mail Address REQUIRED

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  • First Name of Family Member REQUIRED

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  • Year of Birth REQUIRED Please fill out this field. Please enter a date.
  • Catholic REQUIRED

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    (Select One) Yes No Please fill out this field.
  • Baptized REQUIRED

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  • First Communion REQUIRED

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    (Select One) Yes No Please fill out this field.
  • Marriage REQUIRED

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    (Select One) Yes No Please fill out this field.
  • Comfirmation REQUIRED

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  • First Name of Family Member

    Please enter first name of family member

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  • Year of Birth Please enter a date.
  • Catholic

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    None Yes No
  • Baptized

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    None Yes No
  • First Communion

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    None Yes No
  • Comfirmation

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    None Yes No
  • Marriage

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    None Yes No
  • First Name of Family Member

    Please enter first name of family member

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  • Year of Birth Please enter a date.
  • Catholic

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    None Yes No
  • Baptized

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    None Yes No
  • First Communion

    Please select Please select

    None Yes No
  • Comfirmation

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    None Yes No
  • Marriage

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    None Yes No
  • First Name of Family Member

    Please enter first name of family member

    Please enter valid data.
  • Year of Birth Please enter a date.
  • Catholic

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    None Yes No
  • Baptized

    Please select Please select

    None Yes No
  • First Communion

    Please select Please select

    None Yes No
  • Comfirmation

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    None Yes No
  • Marriage

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    None Yes No
  • First Name of Family Member

    Please enter first name of family member

    Please enter valid data.
  • Year of Birth Please enter a date.
  • Catholic

    Please select Please select

    None Yes No
  • Baptized

    Please select Please select

    None Yes No
  • First Communion

    Please select Please select

    None Yes No
  • Comfirmation

    Please select Please select

    None Yes No
  • Marriage

    Please select Please select

    None Yes No
  • First Name of Family Member

    Please enter first name of family member

    Please enter valid data.
  • Year of Birth Please enter a date.
  • Catholic

    Please select Please select

    None Yes No
  • Baptized

    Please select Please select

    None Yes No
  • First Communion

    Please select Please select

    None Yes No
  • Comfirmation

    Please select Please select

    None Yes No
  • Marriage

    Please select Please select

    None Yes No

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