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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.

    State None AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

    Zip Please enter a zip code.
  • 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 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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