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Enrollment

- Sacraments

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Year/Año REQUIRED 1 2 Please fill out this field.
- Date of Birth/ Fecha de nacimiento REQUIRED Please fill out this field. Please enter a date.
- Age/Edad REQUIRED Please fill out this field. Please enter valid data.
- Student Email REQUIRED Please fill out this field. Please enter an email address.
- Student Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- School Grade: REQUIRED Please fill out this field. Please enter valid data.
- Any Special needs/ ¿Necedidades Especiales?
- If yes, please state below:
- Is Student Baptized? If yes, a copy of baptismal certificate is required./ ¿Esta Bautizado? Copia de su certificado de bautiso es requerida si esta batuisado/a REQUIRED Please fill out this field.
- Date of Baptism/ Fecha de Bautismo Please enter valid data.
- Church of Baptism/ Iglesia donde se Bautizo Please enter valid data.
- Have they received First Communion? / ¿Hizo su Primera Comunión? REQUIRED Please fill out this field.
- First Communion Year/ Fecha de Primera Comunión Please enter valid data.
- Church of First Communion/ Iglesia Please enter valid data.
- Parent name/ Nombre #1: REQUIRED Please fill out this field. Please enter valid data.
- Parent name/ Nombre #2: Please enter valid data.
- Address/ Dirección: REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number (home/casa) Please enter a phone number.
- Phone Number (Cell) REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Emergency Contact/ Contacto de Emergencia REQUIRED Please fill out this field. Please enter valid data.
- Emergency Number/ Teléfono de Emergencia REQUIRED Please fill out this field. Please enter a phone number.
- Student lives with/ Vive con: REQUIRED Please fill out this field.
- Are parents married by the Church?/ ¿Estan los papas casados por la iglesia?
- Any siblings in the Rel. Education Program?/ ¿Hermanos-as en el Programa de Educación Religiosa?
- If yes, please write names below: Please enter valid data.
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