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Pre-Jordan Registration

- Sacraments

Pre-Jordan Registration
The maximum number of form submissions has been reached. This form is currently not available.
- Registration For: REQUIRED Tuesday, November 12 at 7:00 PM Tuesday, December 10 at 7:00 PM Please fill out this field.
- Father's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Married Not Married Please fill out this field.
- Registered in Parish REQUIRED Yes No Please fill out this field.
- Baby's DOB REQUIRED Please fill out this field. Please enter a date.
- Phone Number (xxx-xxx-xxxx) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
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