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  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Gender of Child Please enter valid data.
  • Age of Child Please enter valid data.
  • Child's Birthdate Please enter valid data.
  • Grade In School Please enter valid data.
  • Father's Name Please enter valid data.
  • Mother's Name Please enter valid data.
  • Address Please enter valid data.
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    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

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  • Cell Phone Please enter valid data.
  • Email Please enter valid data.
  • Altenate Email Please enter valid data.
  • Baptism yes____ no_____ Please enter valid data.
  • Communion yes___ no_____ Please enter valid data.
  • Confirmation yes_____ no______ Please enter valid data.

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