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CCD/1st Communion Registration

- Sacraments

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- Child's First Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parent First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Address 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 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Birthday REQUIRED Please fill out this field. Please enter a date.
- Grade in School
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