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Censo Parroquial |
Parish Census

- This form is not accepting responses at this time.
  
  Nombre y Apellido(s) | Name and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Dirección | Address 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.
  
  Email | Correo Electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Teléfono | Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  ¿Ya están registrados en la Parroquia? Are you already registered as a parishioner? REQUIRED Sí | Yes No Please fill out this field.
  
  OPCIONAL: Si no están registrados, ¿Les gustaría registrarse? (Recibirá sobres para la colecta semanal) / Would you like to register? Sí | Yes No
  
  Idioma preferido para comunicaciones | Preferred Language for Communications REQUIRED Español English Bilingual Please fill out this field.
  
  ¿Cuántas personas viven en su casa/familia? How many people live at your home/family? REQUIRED Please fill out this field.
  
  ¿Tiene estudiantes en la catequesis/escuela en esta parroquia? Do you have students in the Parish school/RE program? REQUIRED Sí | Yes No Please fill out this field.
  
  NOTA: Llenando esta forma no queda registrado como parroquiano. Si marcó que está interesado, nos comunicaremos con usted.
  NOTE: By filling out this form you are not registered as a parishioner. If you have marked that you are interested, we will contact you.
  
  Enviar | Submit
  
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Censo Parroquial | Parish Census

Censo Parroquial |
Parish Census