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- Type of Registration REQUIRED
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- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
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- City REQUIRED Please fill out this field. Please enter valid data.
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- Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Alternate Phone (His) Please enter valid data.
- Alternate Phone (Hers) Please enter valid data.
- Email Please enter an email address.
- Preferred Language REQUIRED Please fill out this field. Please enter valid data.
- Date of Marriage (if applicable) Please enter a date.
- Would you like to receive contribution envelopes? REQUIRED Yes, please. No, not at this time. Please fill out this field.
- Head of Household
  
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  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
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  Baptism First Communion Confirmation
  
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- Spouse [if any]
  
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- Child/Other Member
  
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  Year in School Please enter valid data.
  
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  Sacraments Received
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  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Year in School Please enter valid data.
  
  Gender Male Female
  
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  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Year in School Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Year in School Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Email REQUIRED Please fill out this field. Please enter an email address.
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