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SACRED HEART CATHOLIC CHURCH CONFIRMATION 2016-2017 Today s Date Parish Registration Child s Name Please print name as you want it to appear on the certificate. Please indicate below any learning disabilities medical conditions or other issues which may require special attention during class sessions. Father s Name Mother s MAIDEN Name Address City Home Phone ZIP CODE Work Phone Cell Phone Dad Mom I prefer to receive email instead of U.S. Mail Yes No Family email Candidate s School Grade in...
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