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Registracion para Clase de Bautizo

- Español

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- Nombre del Niño/a REQUIRED Please fill out this field. Please enter valid data.
- Apellido del Niño/a REQUIRED Please fill out this field. Please enter valid data.
- Fecha de Nacimiento del Niño/a REQUIRED Please fill out this field. Please enter valid data.
- Ciudad de Nacimiento del Niño/a REQUIRED Please fill out this field. Please enter valid data.
- Fecha de la Clase REQUIRED Please fill out this field.
- Clase / Ceremonia REQUIRED Please fill out this field.
- Nombre y Apellido del Padre del Niño/a REQUIRED Please fill out this field. Please enter valid data.
- Nombre y Apellido de la Madre del Niño/a REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Telefono REQUIRED Please fill out this field. Please enter valid data.
- Direccion de la Familia REQUIRED Please fill out this field. 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.
- Nombre del Padrino REQUIRED Please fill out this field. Please enter valid data.
- Es Catolico? REQUIRED Si No Please fill out this field.
- Nombre de la Madrina REQUIRED Please fill out this field. Please enter valid data.
- Es Catolica? REQUIRED Si No Please fill out this field.
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