(Adult) Religious Education Registration
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Student Full Name *
Sacrament Registering for: *
Required
Date of Birth *
MM
/
DD
/
YYYY
City of Birth *
Contact Number *
Email Address *
Check Sacraments Completed *
Required
Date of Baptism if Baptized
MM
/
DD
/
YYYY
Religion Baptized
City of Baptism
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This form was created inside of St John the Evangelist Church.