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SJN FIrst Sacraments Information Form

- About

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- Candidate's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Street Address 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.
  
  Contact Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Parish Membership
  
  Are you a registered member of St. John Neumann Parish? REQUIRED Yes No Please fill out this field.
  
  If not, in what parish are you registered? Please enter valid data.
  
  Other Parish Address
- Religious Education
  
  Where does your child attend religious education? REQUIRED Please fill out this field. Please enter valid data.
  
  For how many years? REQUIRED Please fill out this field. Please enter an integer (number).
- Baptism Information
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Church of Baptism REQUIRED St. John Neumann Other Please fill out this field.
  
  Name of other church Please enter valid data.
  
  Address of other church
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