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Family Members

Name

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Date of Birth

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Date of Confirmation

Name

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Date of Birth

Date of Baptism

Date of Holy Communion

Date of Confirmation

Name

Relationship

Date of Birth

Date of Baptism

Date of Holy Communion

Date of Confirmation

Name

Relationship

Date of Birth

Date of Baptism

Date of Holy Communion

Date of Confirmation

Name

Relationship

Date of Birth

Date of Baptism

Date of Holy Communion

Date of Confirmation

We would like to be registered as members of the Sacred Heart Syro-Malabar Catholic Mission in St. Louis, MO

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