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  • Today's Date Please enter valid data.
  • First name (legal) Please enter valid data.
  • Middle Name Please enter valid data.
  • Last name Please enter valid data.
  • What grade will youth be in for the 2020/2021 school year? REQUIRED Please fill out this field. Please enter valid data.
  • Street Address Please enter valid data.
  • City Please enter valid data.

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  • Email REQUIRED Please fill out this field. Please enter an email address.
  • DATE OF BIRTH Please enter valid data.
  • City and State of Birth Please enter valid data.
  • Name of Church where you were baptized Please enter valid data.
  • City and Sate of Church where you were baptized Please enter valid data.
  • Date of baptism Please enter valid data.
  • Mother's name Please enter valid data.
  • Mother's Maiden name Please enter valid data.
  • Father's Name Please enter valid data.
  • Family Home phone Maximum 20 characters Please enter a phone number.
  • Cell phone for text messaging YOUTH Please enter valid data.
  • Cell phone for text messaging (PARENT) Please enter valid data.
  • Father's email Please enter valid data.
  • Mother's email Please enter valid data.
  • Are you registered at Christ the King Parish? Please enter valid data.

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