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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.
  • Date of Birth - Fecha de nacimiento REQUIRED Please fill out this field. Please enter a date.
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  • Received Baptism - Estas Bautizado REQUIRED Yes - Si No Please fill out this field.
  • Received First Communion - Recibiste la primera comunion REQUIRED Yes - Si No Please fill out this field.
  • Received Confirmation - Recibiste Confirmacion REQUIRED Yes - Si No Please fill out this field.
  • Preferred Language - Prefiero comunicar en REQUIRED (Select One) English Espanol Please fill out this field.

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