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Sponsor's Name *
Prefix
First *
Last *
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Spouse's Name
Prefix
First
Last
Suffix
Child's Name
Prefix
First
Last
Suffix
Child's Name
Prefix
First
Last
Suffix
Duty Phone Number
HomePhone Number
Duty Email *
Home Email
Branch of Service *
Service Status *
DEROS *

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Sacraments received by:

(check all that apply)
Sponsor
 Baptism 
 Penance 
 Eucharist 
 Confirmation 
 Marriage 
Spouse
 Baptism 
 Penance 
 Eucharist 
 Confirmation 
 Marriage 

Ministries you or your family have been involved with in the past or are interested in joining today.

(Check all that apply)
Ministry
 Altar Servers 
 CHS (Catholic Home Schoolers) 
 CMOC (Catholic Men of the Chapel) 
 CWOC (Catholic Women of the Chapel) 
 Cursillo 
 (EMHC) Eucharistic Minister of Holy Communion 
 Knights of Columbus 
 Lectors 
 Life Teen (high school teen program) 
 Music 
 Religious Education Catechist 
 RCIA 
 Rosary Makers 
 Social & Fellowship 
 The Edge (middle school youth program) 
 Usher 
 Women's Bible Study 
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