Contact Information and Religious History

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1. Please provide the following information:

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2. Please provide your contact information below:

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3. Best time to call via phone

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4. What, if any, is your religious affiliation?

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5. Have you ever been baptized?

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6. If your received Baptism, include the name of the church, city and state and year received:

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7. In what denomination did you receive baptism?

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8. What was your approximate age when baptized?

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9. What was your baptismal name (if different from current name)?

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10. Place of Baptism

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11. If you were baptized as a Catholic, check those sacraments you have already received:

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12. Please upload a copy of your Baptismal Certificate (if applicable)

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13. Please upload a copy of your First Holy Communion Certificate (if applicable)

 
25% of survey complete.

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