St. Paul's Bakersfield Parishioner Information Card
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What is your FIRST name? *
What is your LAST name? *
What is your address? *
What is your email address? *
What is your phone number? *
Is this a mobile number? *
When is your birthday? *
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What is your Partner/Spouse's name (if any)?
Date of anniversary
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DD
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Do you have children under the age of 16? *
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