Register

Last Name (Required)

Address (Required)

City/State (Required)

Email

Home Phone (Required)

Work Phone

Adult 1 Information

Adult 1 Full Name (Required) *

Adult 1 Religion (Required) *

Adult 1 Date and Place of Birth (Required) *

Adult 1 Baptism Church and Date

Adult 1 First Communion Church and Date

Adult 1 Confirmation Church and Date

Adult 1 Marriage Church and Date

Adult 1 Place of Work and Occupation

Adult 2 Information

Adult 2 Full Name

Adult 2 Religion

Adult 2 Date and Place of Birth

Adult 2 Baptism Church and Date

Adult 2 First Communion Church and Date

Adult 2 Confirmation Church and Date

Adult 2 Marriage Church and Date

Adult 2 Place of Work and Occupation

Child 1 Information

Child 1 Full Name

Child 1 Religion

Child 1 Date and Place of Birth

Child 1 Baptism Church and Date

Child 1 First Communion Church and Date

Child 1 Confirmation Church and Date

Child 1 Grade and School:

Do you have more children?

yes

no

Child 2 Information

Please only fill out if applicable.

Child 2 Full Name

Child 2 Religion

Child 2 Date and Place of Birth

Child 2 Baptism Church and Date

Child 2 First Communion Church and Date

Child 2 Confirmation Church and Date

Child 2 Grade and School

Do you have more children?

yes

no

Child 3 Information

Please only fill out if applicable.

Child 3 Full Name

Child 3 Religion

Child 3 Date and Place of Birth

Child 3 Baptism Church and Date

Child 3 First Communion Church and Date

Child 3 Confirmation Church and Date

Child 3 Grade and School

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