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Date of Birth REQUIRED Please fill out this field. Please enter a date.
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Occupation Please enter valid data.
Catholic? Yes No
Any Special Needs/Allergies we should be aware of?
Spouse
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- Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
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- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Occupation Please enter valid data.
- Catholic? Yes No
- Any Special Needs/Allergies we should be aware of?
Marital Status Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
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First and Last Name of Other Adults in Household
- Children REQUIRED Please fill out this field.
- Child 1
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Nickname Please enter valid data.
  - Gender Male Female
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Head of Household (Son, daughter, etc) Please enter valid data.
  - Lives with You? Yes No
  - Catholic? Yes No
  - Sacraments Received Baptism First Communion Confirmation
  - Attends Religious Education? Yes No
  - School or Work Place Please enter valid data.
  - Any Special Needs/Allergies we should be aware of?
- Child 2
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Nickname Please enter valid data.
  - Gender Male Female
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Head of Household (Son, daughter, etc) Please enter valid data.
  - Lives with You? Yes No
  - Catholic? Yes No
  - Sacraments Received Baptism First Communion Confirmation
  - Attends Religious Education? Yes No
  - School or Work Place Please enter valid data.
  - Any Special Needs/Allergies we should be aware of?
- Child 3
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Nickname Please enter valid data.
  - Gender Male Female
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Head of Household (Son, daughter, etc) Please enter valid data.
  - Lives with You? Yes No
  - Catholic? Yes No
  - Sacraments Received Baptism First Communion Confirmation
  - Attends Religious Education? Yes No
  - School or Work Place Please enter valid data.
  - Any Special Needs/Allergies we should be aware of?
- Child 4
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Nickname Please enter valid data.
  - Gender Male Female
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Head of Household (Son, daughter, etc) Please enter valid data.
  - Lives with You? Yes No
  - Catholic? Yes No
  - Sacraments Received Baptism First Communion Confirmation
  - Attends Religious Education? Yes No
  - School or Work Place Please enter valid data.
  - Any Special Needs/Allergies we should be aware of?
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Were you previously registered within in a parish within the Archdiocese of Boston? Yes No
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