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Forma de Inscripción (español)

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  Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Dirección REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Teléfono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Celular Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Would you like to receive offertory envelopes or contribute online? REQUIRED Please fill out this field.
  
  Cabeza de familia
  
  Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Sexo REQUIRED Please fill out this field.
  
  Fecha de nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Estado Civil REQUIRED Please fill out this field.
  
  Religión REQUIRED Please fill out this field.
  
  Bautizado REQUIRED Please fill out this field.
  
  First Communion
  
  Confirmación
  
  If married in the Catholic Church indicate date Maximum 10 characters
  mm/dd/yyyy
  Please enter valid data.
  
  Name of the church , city and state Please enter valid data.
  
  Spouse
  
  First Name (last name, only if different from head of family) Please enter valid data.
  
  Male or female
  
  Date of Birth Please enter valid data.
  
  Marital Status
  
  Religion
  
  Baptized
  
  First Communion
  
  Confirmation
  
  Other member
  
  Role
  
  First Name (last name, only if different from head of family) Please enter valid data.
  
  Male or female
  
  Date of Birth Please enter valid data.
  
  Marital Status
  
  Religion
  
  Baptized
  
  First Communion
  
  Confirmation
  
  Other member
  
  Role
  
  First Name (last name, only if different from head of family) Please enter valid data.
  
  Male or female
  
  Date of Birth Please enter valid data.
  
  Marital Status
  
  Religion
  
  Baptized
  
  First Communion
  
  Confirmation
  
  Other member
  
  Role
  
  First Name (last name, only if different from head of family) Please enter valid data.
  
  Male or female
  
  Date of Birth Please enter valid data.
  
  Marital Status
  
  Religion
  
  Baptized
  
  First Communion
  
  Confirmation
  
  Other member
  
  Role
  
  First Name (last name, only if different from head of family) Please enter valid data.
  
  Male or female
  
  Date of Birth Please enter valid data.
  
  Marital Status
  
  Religion
  
  Baptized
  
  First Communion
  
  Confirmation
  
  Other member
  
  Role
  
  First Name (last name, only if different from head of family) Please enter valid data.
  
  Male or female
  
  Date of Birth Please enter valid data.
  
  Marital Status
  
  Religion
  
  Baptized
  
  First Communion
  
  Confirmation
  
  Submit
  
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