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Saint Peter Claver Catholic Church
Registration form. If you are not married or do not have children, you can skip sections 2 and 3.
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* Indicates required question
Name
*
Your answer
Registration Date
*
MM
/
DD
/
YYYY
Birthday
MM
/
DD
/
YYYY
Email
*
Your answer
Would you like to be added to Flocknote - church communication system for events and news (email and text)
*
Yes, email and text
Yes, just email
Yes, just text
No, I would not like to be a part of Flocknote
Address
*
Your answer
Phone number (work, home and cell if applicable)
*
Your answer
Ethnicity
Your answer
Religion
Your answer
Grade completed
Your answer
Occupation and place of employment
Your answer
Sacraments received
*
Baptism
Eucharist
Confirmation
Matrimony
Required
Marital status
*
Single
Married
Divorced
Widowed
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