Catechumens and Candidates Registration Information
Last Name
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First Name
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Middle Name
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Date of Birth
MM
/
DD
/
YYYY
Place of Birth
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Parent Information
Father's Name (Last, First, Middle)
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Mother's Name (Maiden, First, Middle)
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Residence
Street Address
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City
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State
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Zip
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Email
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Phone
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Godparents
Godfather's Name (Last, First, Middle)
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Godmother's Name (Last, First, Middle)
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Church of Baptism
for candidates
Name of Church
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City, State
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Denomination
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Confirmation Information
Confirmation Name
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Name of Sponsor
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Sacraments to be Received:
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