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  • Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Adult Member Names REQUIRED Please fill out this field. Please enter valid data.
  • Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.
  • Zip REQUIRED Please fill out this field. Please enter an integer (number).
  • Phone REQUIRED Please fill out this field. Please enter valid data.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Your Preferred Church of Worship REQUIRED Our Lady of Good Counsel St. Thomas More Please fill out this field.
  • • Children REQUIRED Please fill out this field.
    • Child 1
      • Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • School Please enter valid data.
    • Child 2
      • Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • School Please enter valid data.
    • Child 3
      • Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • School Please enter valid data.
    • Child 4
      • Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • School Please enter valid data.
  • I would like to: Become a Catholic Have my children participate in the Religious Education Program Receive First Eucharist (Communion) Celebrate the Sacrament of Confirmation Learn more about my Catholic Faith
  • Comments / Suggestions
  • How would you (and/or the members of your family) like to serve within the Parish

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