Form's Instructions
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Thank you for completing this form. If you have any questions, please contact Maria Paniagua at mpaniagua@cathedralstm.org or 703-525-1300 ext. 28. |
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Head of Household |
Title |
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*First Name |
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*Last Name |
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Suffix |
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Ethnicity |
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*Gender |
Female Male |
*Language |
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*Marital Status |
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*Email 1 |
Unlisted
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Send Email Instead of Mail When Possible |
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Email 2 |
Unlisted
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Send Email Instead of Mail When Possible |
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Spouse |
Title |
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First Name |
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Last Name |
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Suffix |
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Relationship |
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Ethnicity |
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Gender |
Female Male |
Language |
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Marital Status |
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Email 1 |
Unlisted
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Send Email Instead of Mail When Possible |
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Email 2 |
Unlisted
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Send Email Instead of Mail When Possible |
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Family Street Address |
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*Line 1 |
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Line 2 |
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*City |
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*State |
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*ZIP |
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Family Phone Numbers |
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Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply. |
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*Primary |
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Unlisted
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Other |
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Unlisted
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Family Email Address |
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*Email |
Unlisted
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Fee Total = $0.00 |
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Student 1 |
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*First Name |
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*Last Name |
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Suffix |
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Middle Name |
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Nickname |
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*Ethnicity |
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*Birth Date |
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*Gender |
Female Male |
*Grade/Degree |
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Language |
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Sacraments |
Name |
Received |
Date |
Place |
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Baptism/PoF |
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First Comm |
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Confirm |
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