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Iscrizione al Catechismo I media
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Cognome e Nome (del bambino)
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Luogo e data di nascita
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Residente a
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via
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Battezzato (indicare Parrocchia e data)
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Cognome e nome della mamma
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Telefono mamma
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Cognome e nome del babbo
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Telefono babbo
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Telefono (indicare a chi fa riferimento il numero)
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Indirizzo @
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