First Reconciliation & First Communion Registration
Last Name of Household
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Address
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City
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Zip Code
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Phone Number
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Email Address
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Name of Child (Include last name if different)
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Grade (Fall 2016)
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Baptized
Name of Mother Attending
Your answer
Virtus Trained
Name of Father Attending
Your answer
Virtus Trained
Family Registered in Parish
Childcare (18 months & older) during the session for: Name of Child & Age
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