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Individual Information
Number of Adults you are registering
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4
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Number of Children you are registering
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10
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Adult 1
1. Adult Name
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Last
1. Religion
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1. Sacraments Received
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Baptism
First Eucharist
Confirmation
1. Date of Birth
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Date Format: MM slash DD slash YYYY
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1. Cell Phone
Adult 2
2. Adult Name
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Last
2. Religion
2. Sacraments Received
Baptism
First Eucharist
Confirmation
2. Date of Birth
Date Format: MM slash DD slash YYYY
2. Occupation
2. Cell Phone
Child 1
1. Child's Name
First
Last
Sex:
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Male
Female
1. Child 1 Religion
1. Child's Date of Birth
Date Format: MM slash DD slash YYYY
1. Sacraments already received by child
Baptism
First Eucharist
Confirmation
1. Child's School
1. Child's Grade
Child 2
2. Child's Name
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Last
Sex:
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Male
Female
2. Child's Religion
2. Child's Date of Birth
Date Format: MM slash DD slash YYYY
2. Sacraments already received by child
Baptism
First Eucharist
Confirmation
2. Child's School
2. Child's Grade
Child 3
3. Child's Name
First
Last
Sex:
*
Male
Female
3. Child's Religion
3. Child's Date of Birth
Date Format: MM slash DD slash YYYY
3. Sacraments already received by child
Baptism
First Eucharist
Confirmation
3. Child's School
3. Child's Grade
Child 4
4. Child's Name
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Last
Sex:
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Male
Female
4. Child's Religion
4. Child's Date of Birth
Date Format: MM slash DD slash YYYY
4. Sacraments already received by child
Baptism
First Eucharist
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4. Child's School
4. Child's Grade
Additional Children
Please List additional children and their information below
Name / Religion / DOB / Sacraments Received / School / Grade