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St. John's Membership Application
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Applicant Name
*
Last, First, Middle, (Maiden)
Your answer
Address
*
Your answer
E-mail Address
*
Your answer
Cell Phone
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Baptized?
*
Yes / No. If "yes," please indicate date and place of Baptism.
Your answer
Confirmed?
*
Yes / No. If "yes," please indicate date and place of confirmation
Your answer
Marital Status
*
Single
Married
Widow/Widower
Divorced
If "married," please indicate wedding date
MM
/
DD
/
YYYY
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