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  • SPOUSE INFORMATION

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  • Baptized in Catholic Church? REQUIRED (Select One) Yes No N/A Please fill out this field.
  • Religion if not Catholic Please enter a date.
  • Received First Eucharist? REQUIRED (Select One) Yes No N/A Please fill out this field.
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  • DEPENDENTS

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  • Sacramental Information

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    Baptism Catholic Baptism (other) First Eucharist Confirmation
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  • Name: First, Middle and Last Please enter valid data.
  • Date of Birth Please enter a date.
  • Sacramental Information

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    Baptism Catholic Baptism (other) First Eucharist Confirmation Marriage
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  • Enrolled in Religious Education program? None Yes No
  • Name: First, Middle and Last Please enter valid data.
  • Date of Birth Please enter a date.
  • Sacramental Information

    Please check all Sacraments received.

    Baptism Catholic Baptism (other) First Eucharist Confirmation Marriage
  • Grade and School Please enter valid data.
  • Enrolled in Religious Education program? None Yes No
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