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Contact Person for your Household:

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Middle Name Please enter valid data.
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City & State of Birth Please enter valid data.
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Cell Phone Number Please enter valid data.
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Received Baptism First Reconciliation First Eucharist Confirmation

Church, City, State of Baptism

Church, City, State of First Reconciliation

Church, City, State of First Holy Communion

Church, City, State of Confirmation

Church, City, State, Date, & Spouse of Matrimony

Spouse (if applicable)

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Church, City, State, Date of Marriage & Name of Spouse

We would like to have our marriage convalidated within the Catholic Church. Yes No

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Home Phone Number Please enter a phone number.

We prefer to tithe to our parish Using Envelopes Using Faith Direct (Online Giving)

Hobbies & Interests

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Holy Redeemer Catholic Church