Register / Registrarse

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  FAMILY REGISTRATION FORM
  FORMULARIO DE REGISTRO FAMILIAR
  
  Parish / Iglesia REQUIRED Please fill out this field.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Address / Domicilio REQUIRED Please fill out this field. Please enter valid data.
  
  City / Ciudad REQUIRED Please fill out this field. Please enter valid data.
  
  State / Estado REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code / C.P. REQUIRED Please fill out this field. Please enter valid data.
  
  Home Phone / Tel. Casa REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Emergency Phone / Tel. Emergencia Maximum 20 characters Please enter a phone number.
  
  Would you like to receive contribution envelopes? / Sobre de Ofertorio Yes / Sí No
  
  INDIVIDUAL MEMBER INFORMATION
  INFORMACION INDIVIDUAL
  
  Adult Male / Hombre
  
  First Name / Nombre Please enter valid data.
  
  Last Name / Apellido Please enter valid data.
  
  Role / Titular Please enter valid data.
  
  Date of Birth / FDN Please enter valid data.
  
  Email Please enter an email address.
  
  Cell Phone or Work Phone / Tel. Cel o Tel. Trabajo Maximum 20 characters Please enter a phone number.
  
  Adult Female / Mujer
  
  First Name / Nombre Please enter valid data.
  
  Last Name / Apellido Please enter valid data.
  
  Role / Titular Please enter valid data.
  
  Date of Birth / FDN Please enter valid data.
  
  Email Please enter an email address.
  
  Cell Phone or Work Phone / Tel. Cel o Tel. Trabajo Maximum 20 characters Please enter a phone number.
  
  CHILDREN INFORMATION
  INFORMACION DE LOS HIJOS
  
  Number of Children / Numero de los hijos REQUIRED Please fill out this field.
  
  Child / Hijo 1
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Child / Hijo 2
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Child / Hijo 3
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Child / Hijo 4
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Child / Hijo 5
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Child / Hijo 6
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Child / Hijo 7
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Child / Hijo 8
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Child / Hijo 9
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Child / Hijo 10
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Head of Household / Relación con del Titular REQUIRED Please fill out this field. Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate / FDN REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace / Lugar Nacimento REQUIRED Please fill out this field. Please enter valid data.
  
  Before submitting, please check to ensure that all the information entered above is correct.
  
  Antes de enviarlo ("submit"), verifique que toda la información ingresada anteriormente sea correcta.
  
  Submit
  
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