City and State where child was born - Ciudad y Estado del Nacimiento *
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Mother's first name and MAIDEN name - Nombre de la madre con Apellido de SOLTERA *
Your answer
Father's first and last name - Nombre y Apellido del papá *
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Home Address - Dirección *
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Preferred phone number - Número de teléfono *
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Are you a registered parishioner? ¿Están registrados en nuestra Parroquia? *
If you are not on the parish email list and would like to be added, please provide an email address. - Si desea ser agregado a la lista de correro electrónico de la parroquia, proporcione su dirección de correo electrónico.
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