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Registration Form

#1

Last Name

First Name

Gender

Male

Female

DOB

Marital Status

Sacramental Information (Check all that apply)

Baptism

First Communion

Reconciliation

Confirmation

#2

Last Name

First Name

Sacramental Information (Check all that apply)

Baptism

First Communion

Reconciliation

Confirmation

Gender

Male

Female

DOB

Marital Status

Contact Information

Contact Information

Address

City

Zip Code

Home Phone:

Cell Phone

Family Email

Other Family Members

Children/Other Family Members Information

Name

Relationship

DOB

Sacramental Info

Name

Relationship

DOB

Sacramental Info

Name

Relationship

DOB

Sacramental Info

Name

Relationship

DOB

Sacramental Info

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Holy Trinity National Catholic Church

3319 Lake Shore Rd, Buffalo, NY 14219, United States of America

(716) 931-9693

holytrinityinwoodlawn@gmail.com

holytrinityinwoodlawn.org

Holy Trinity National Catholic Church

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