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Rejestracja - Polski

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REJESTRACJA i AKTUALIZACJA INFORMACJI
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- Rodzaj Rejestracji (Type of Registration) REQUIRED
  Type
  Please fill out this field.
- Chcesz otrzymać koperty na składki? (Envelopes) REQUIRED Tak proszę (Yes) Nie w tej chwili (Not now) Please fill out this field.
- Adres Zamiezkania (Street Address) REQUIRED Please fill out this field. Please enter valid data.
- Numer Mieszkania (Apartment #) Please enter valid data.
- Miasto (City) REQUIRED Please fill out this field. Please enter valid data.
- Stan (State) REQUIRED Please fill out this field.
- Kod Pocztowy (Zip Code) REQUIRED Please fill out this field. Please enter valid data.
- Telefon Domowy Maximum 20 characters Please enter a phone number.
- Główny Email (Main Email) REQUIRED Please fill out this field. Please enter an email address.
- Preferowany Język (Preferred Language) REQUIRED Please fill out this field. Please enter valid data.
- GŁOWA RODZINY (Head of Household)
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Komórka (Cell Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Data Zawarcia Małżeństwa - Jeśli Dotyczy (Date of Marriage) Please enter valid data.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód (Occupation) Please enter valid data.
- Liczba Dodatkowych Członków Rodziny (Number of Add'l Family) REQUIRED Please fill out this field.
  
  Członek Rodziny (Family Member) 1
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 2
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 3
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 4
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 5
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 6
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 7
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 8
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 9
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 10
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 11
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
  
  Członek Rodziny (Family Member) 12
  
  Relacje Rodzinne (Family Relation) REQUIRED Please fill out this field.
  
  Jeśli Wybrano „Inne”, Podaj Związek (If Other, List Relationship) Please enter valid data.
  
  Pierwsze i Drugie Imię (First and Middle Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nazwisko (Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Data Urodzenia (Date of Birth) REQUIRED Please fill out this field. Please enter a date.
  
  Telefon Komórkowy - Jeśli Dotyczy (Mobile Phone) Maximum 20 characters Please enter a phone number.
  
  E-mail - Jeśli Dotyczy Please enter an email address.
  
  Religia (Religion) REQUIRED Please fill out this field. Please enter valid data.
  
  Stan Cywilny (Marital Status) REQUIRED Please fill out this field.
  
  Otrzymane Sakramenty (Sacraments Received) REQUIRED Sakrament Chrztu (Baptism) Sakrament Komuni Sw (1st Communion) Sakrament Bierzmowania (Confirmation) Nic (None) Please fill out this field.
  
  Kościół Chrztu (Church of Baptism) Please enter valid data.
  
  Miasto Chrztu (City of Baptism) Please enter valid data.
  
  Stan lub Kraj Chrztu (State/Country of Baptism) Please enter valid data.
  
  Zawód lub Rok w Szkole (Occupation/Year at school) Please enter valid data.
- Uwagi: (Comments)
- Email Potwierdzający (Confirmation Email) REQUIRED Please fill out this field. Please enter an email address.
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