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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Date of Birth Please enter a date.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Occupation Please enter valid data.
- Catholic Yes No
- Any Special Needs/Allergies we should be aware of?
- Spouse Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Nickname Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Occupation Please enter valid data.
  
  Catholic Yes No
  
  Any Special Needs/Allergies we should be aware of?
- Marital Status
- Secondary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Street Address 1 REQUIRED Please fill out this field. Please enter valid data.
- Street Address 2 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.
- First and Last Name of Other Adults in Household
- Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 9
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 10
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender Male Female
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmed? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
- Parish REQUIRED Our Lady of Grace Church Saint Mary of the Assumption Parish Please fill out this field.
- You would like more information about: Parish Ministries Parish Events Faith Formation (Adults) Faith Formation (Children) Volunteer Opportunities
- I Agree:
  
  Sign up for Email News and Notifications from Parish Please select this field.
  
  I would like to receive envelopes. Please select this field.
  
  I am interested in online giving. Please select this field.
- Were you previously registered in a parish within the Archdiocese of Boston? Yes No
- Please tell us where:
  Previous parish name, town/city
  Please enter valid data.
- Comments or Additional Information
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