Catechesis Registration Form
Event Timing: 2020-21
Event Address: 701 Gamble St.
Contact us at (850) 222-6482 or sainteugene701@gmail.com
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Email *
Student Name (Last, First) / Nombre del Estudiante (Apellido, Nombre) *
Sacraments received / Sacramentos recibidos *
Required
Date of Birth / Fecha de Nacimiento *
MM
/
DD
/
YYYY
Sex / Sexo *
Grade in School / Grado en la Escuela (2020-21) *
Catechetical Group you were in 2019-20 / Grupo de Catequesis en el que estuviste en 2019-20 *
Name of Father (Last, First) / Nombre del Padre (Apellido, Nombre) *
Name of Mother (Last, First) / Nombre de la Madre (Apellido, Nombre) *
Parent Email / Email del Padre o Madre *
Street Address / Dirección de Calle *
City / Ciudad *
State / Estado *
Zip Code / Código Postal *
Telephone Numbers / Números de Teléfono            (Write the numbers without spaces or brackets / Escriba los números sin espacio entre ellos) *
Donation / Donación                                                       (Make checks payable to St. Eugene Catholic Mission *
Required
Do you use WhatsApp / ¿Usa el WhatsApp? *
A copy of your responses will be emailed to the address you provided.
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