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  • Date REQUIRED Please fill out this field. Please enter a date.
  • Check the Worship Site you/your family will be attending most frequently: REQUIRED Ss. Peter & Paul Croatian Roman Catholic Church St. Stephen of Hungary Roman Catholic Church Please fill out this field.
  • Self Information:
  • Head of Household
    • First Name REQUIRED Please fill out this field. Please enter valid data.

      Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Address REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      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.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Email REQUIRED Please fill out this field. Please enter an email address.
    • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
    • Religious Status: Catholic Non-Catholic
    • Baptized? REQUIRED Yes No Please fill out this field.
    • Church Name & City/State REQUIRED Please fill out this field. Please enter valid data.
    • Confirmed? REQUIRED Yes No Please fill out this field.
    • Church Name & City/State REQUIRED Please fill out this field. Please enter valid data.
    • Marital Status REQUIRED Marrried Single Separated Divorced Widowed Remarried Please fill out this field.
    • Married by Priest? REQUIRED Yes No Please fill out this field.
    • Date of Marriage? REQUIRED Please fill out this field. Please enter a date.
    • Employed By: REQUIRED Please fill out this field. Please enter valid data.
    • Job Position REQUIRED Please fill out this field. Please enter valid data.
    • Are you interested in participating in any of the following" Lector Eucharistic Minister Altar Server Usher Greeter Hospitality Helper Singing in the Choir
  • • Number of Additional Family Members REQUIRED Please fill out this field.
    • Family Member 1
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 2
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 3
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 4
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 5
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 6
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 7
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 8
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 9
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 10
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 11
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
    • Family Member 12
      • 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 REQUIRED Please fill out this field. Please enter a date.
      • Sacraments Received REQUIRED Baptism Eucharist Confirmation Please fill out this field.
  • Emergency Contact
  • Name Please enter valid data.
  • Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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