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You, Me and NFP - MARQUETTE UNIVERSITY - INSTITUTE FOR NATURAL FAMILY PLANNING - WOMEN'S REGISTRATION FORM
IDENTIFICATION
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Primary Phone #
*
Your answer
Secondary Phone #
Your answer
Address
*
Your answer
Registration Date
*
MM
/
DD
/
YYYY
How old were you at your last birthday? (In years)
*
Your answer
Are you:
*
Married
Single
Engaged
Other:
If married, how many years have you been married?
Enter '0' if less than 1 year
Your answer
If engaged, when do you plan on getting married
MM
/
DD
/
YYYY
What is your religion?
*
Catholic
Protestant / Non-denominational Christian
Jewish
Muslim
Other:
How many years of school have you completed?
*
Your answer
What is your occupation?
*
Professional
Clerical/Sales
Homemaker
Technical
Skilled Laborer
Student
Other:
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