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St Eulalia's Parish Registration
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Title
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Mr.
Mrs.
Miss
Ms
Dr.
Name
Please enter your First and Last Name
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Suffix
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Maiden Name
List if applicable
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Birthdate
MM
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DD
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YYYY
Gender
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Female
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Mailing Address
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Please list your full mailing address
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Home Directions
What are the directions to your home?
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Occupation
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Employer
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Home Phone
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Cell Phone
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Email Address
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Marriage Status
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Committed
Church Marriage
Civil Marriage
Divorced
Engaged
Separated
Single
Widowed
Other:
Religion
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Church Ministries
Church Ministries you previously participated in or are interested in joining.
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Are there other members of your household?
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