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  • First Name REQUIRED Please fill out this field. Please enter valid data.

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  • Date of Baptism (Required even if baptized at St. Raphael) REQUIRED Please fill out this field. Please enter a date.
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  • Address of Church (unles baptized at St. Raphael) Please enter valid data.
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  • Grade in Fall 2021 REQUIRED (Select One) K 1 2 3 4 5 6 7 8 HS Please fill out this field.
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    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

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