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  • Parish None St. Edward's, Drayton Assumption Parish, Pembina
  • Last name, first name Please enter valid data.
  • Spouse's last name, first name Please enter valid data.
  • Maiden last name Please enter valid data.
  • Head of Household Please enter valid data.
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  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Father's name Please enter valid data.
  • Date of Birth Please enter valid data.
  • Marital Status Single Married Divorced Spouse Deceased Annuled
  • Religion REQUIRED Please fill out this field. Please enter valid data.
  • Occupation Please enter valid data.
  • Mother's name Please enter valid data.
  • Date of Birth Please enter valid data.
  • Marital Status Single Married Divorced Spouse Deceased Annuled
  • Religion REQUIRED Please fill out this field. Please enter valid data.
  • Occupation Please enter valid data.
  • • Number of Children REQUIRED Please fill out this field.
    • Child 1
      • First & Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacrament's Received (Check all that apply) Baptism Eucharist (First Communion) Reconciliation Confirmation
      • Church of Baptism Please enter valid data.
      • City of Baptism Please enter valid data.
      • State of Baptism None Alabama Alaska Arizona Arkansas California Connecticut Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
    • Child 2
      • First & Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacrament's Received (Check all that apply) Baptism Eucharist (First Communion) Reconciliation Confirmation
      • Church of Baptism Please enter valid data.
      • City of Baptism Please enter valid data.
      • State of Baptism None Alabama Alaska Arizona Arkansas California Connecticut Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
    • Child 3
      • First & Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacrament's Received (Check all that apply) Baptism Eucharist (First Communion) Reconciliation Confirmation
      • Church of Baptism Please enter valid data.
      • City of Baptism Please enter valid data.
      • State of Baptism None Alabama Alaska Arizona Arkansas California Connecticut Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
    • Child 4
      • First & Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacrament's Received (Check all that apply) Baptism Eucharist (First Communion) Reconciliation Confirmation
      • Church of Baptism Please enter valid data.
      • City of Baptism Please enter valid data.
      • State of Baptism None Alabama Alaska Arizona Arkansas California Connecticut Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
    • Child 5
      • First & Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacrament's Received (Check all that apply) Baptism Eucharist (First Communion) Reconciliation Confirmation
      • Church of Baptism Please enter valid data.
      • City of Baptism Please enter valid data.
      • State of Baptism None Alabama Alaska Arizona Arkansas California Connecticut Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
    • Child 6
      • First & Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacrament's Received (Check all that apply) Baptism Eucharist (First Communion) Reconciliation Confirmation
      • Church of Baptism Please enter valid data.
      • City of Baptism Please enter valid data.
      • State of Baptism None Alabama Alaska Arizona Arkansas California Connecticut Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
    • Child 7
      • First & Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
      • Gender REQUIRED Male Female Please fill out this field.
      • Religion REQUIRED Please fill out this field. Please enter valid data.
      • Sacrament's Received (Check all that apply) Baptism Eucharist (First Communion) Reconciliation Confirmation
      • Church of Baptism Please enter valid data.
      • City of Baptism Please enter valid data.
      • State of Baptism None Alabama Alaska Arizona Arkansas California Connecticut Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

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