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Virtual Prayer Book † Libro virtual de oración
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Solicite una Misa de intención
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Hágase miembro
Actualice su información
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FORMA DE REGISTRO PARA MATRIMONIO
Reconciliación
Unción de los enfermos
Formación en la fe
Registro para formación en la fe
Para niños
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Asignaciones de asistente para Grupos Pequenos
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Registrarse para RICA
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St. Raphael K-8 School
Discipleship Form 2021-2022
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St. Raphael the Archangel
Raleigh, NC
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Home
Our Parish
Welcome!
Our Vision
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Spiritual Journey of St. Ignatius
Inclement Weather Information
Where do I start?
Frequently Asked Questions
I'm New
Becoming Catholic
Become a Member or Update
Room Reservations
I Need a Sacrament Certificate
I Need my Marriage Certificate
Our Campus
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Expectations at Mass / Expectativas en la Misa
Mass Times
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Listen to Sunday Homilies / Escuchar a homilías de domingo
What is a Catholic Mass?
Liturgy & Worship Ministries
Serving at Worship
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Liturgical & Prayer Resources
Recursos Liturgicos y Oracion
Support & Care
Hands and Feet Ministry / Ministerio de Manos y Pies
Anointing of the Sick
Funerals
Compassionate Care
Columbarium
Virtual Prayer Book † Libro virtual de oración
Request a Mass Intention
Solicite una Misa de intención
Learn & Grow
Celebrate Sundays
Activities to do at home
Children's Faith Formation
Children's Faith Formation (K-5)
Vacation Bible Camp
Keeping Children Safe
Faith Formation for Youth
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Mission Trip
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I need a Sacrament Certificate
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Intro to Ignatian Spirituality
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Listen to Sunday Homilies / Escuchar a homilías dominicales
Get Involved
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Ignatian Prayer
Lectio Divina
Married Couples Dinner Club
Mothers in Faith
Respect Life Committee
Rosary Prayer Groups
Ministries
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Alpha Support
Funeral & Bereavement Ministry
Health Care Ministry
Music Ministry
Outreach Ministries
Prayer Shawls
Safe Environment Team
Serving on the Weekend
Welcome Warmly Ministry
Young Adults
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Boy Scouts Troop 314
Cub Scouts Pack 314
Girl Scouts Troop 4858
Knights of Columbus & Columbiettes
How can I get involved?
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Give
Give Gratefully / Dar con Gratitud
Treasure
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Sacramentos
Formación en la fe
Alpha en Español
Vida parroquial y ministerios
Donar
Our Schools
St. Raphael Preschool
St. Raphael K-8 School
Discipleship Form 2021-2022
Upload Cardinal Gibbons Parish Affiliation Forms
How we Keep Children Safe
Contact Us
BECOME A MEMBER-
HÁGASE MIEMBRO
Our Parish
Welcome!
Our Vision
Mass Times
Directions
Meet our Clergy
Spiritual Journey of St. Ignatius
Inclement Weather Information
Where do I start?
Frequently Asked Questions
I'm New
Becoming Catholic
Become a Member or Update
BECAME A MEMBER-HÁGASE MIEMBRO
Update-Actualización
Room Reservations
I Need a Sacrament Certificate
I Need my Marriage Certificate
Our Campus
Office Hours
Campus Maps
Finance Council
Financial Report / Informe Financiero
Pastoral Council
Our Staff
Keeping Children Safe
Contact Us
Español
News & Events
Calendar
Latest News / Últimos anuncios
Bulletin
Our Pastor's E-News Articles
Listen to Homilies
Source & Summit Blog
Volunteer Opportunities
Job Openings
Submit an Article to our Bulletin
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I Agree
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Who lives in your household?/ ¿Quienes viven con usted en casa?
Please type in the number of people who live with you/who are in your family. Don't include yourself in this total.
Escriba la cantidad de personas que viven con usted / que están en su familia. No se incluya usted en este total.
For example:
If you live alone/ don't live with any family members answer the next question with the number 0.
Si vive solo / no vive con ningún miembro de la familia, responda la siguiente pregunta con el número 0.
If you live with your spouse answer the next question with the number 1.
Si vive con su cónyuge, conteste la siguiente pregunta con el número 1.
If you live with your spouse and children, add 1 (for your spouse) to the number of children you have and answer the question with that number.
Si vive con su cónyuge e hijos, agregue 1 (para su cónyuge) a la cantidad de hijos que tiene y responda la pregunta con ese número.
If you live with your spouse, children, and other family members add 1 to the number of children and other family members in your household/family and answer the question with that number.
Si vive con su cónyuge, hijos y otros miembros de la familia, agregue 1 a la cantidad de hijos y otros miembros de la familia en su hogar / familia y responda la pregunta con ese número.
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Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 1
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Ms.
Dr./Dr.
Rev.
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Monsignor
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Male\Masculino
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Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
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If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
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No/No
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First Communion/Primera Comunión
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No/No
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Ms.
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Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
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Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
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First Communion/Primera Comunión
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Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 3
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Ms.
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Daughter/Hija
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Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
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Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
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If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
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No/No
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First Communion/Primera Comunión
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Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 4
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Ms.
Dr./Dr.
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Monsignor
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Relation\Relación
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Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
Other/Otro
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If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
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Married/Casado(a)
Co-habitating/Vive en unión Libre
Single/Soltero(a)
Widowed/Viudo(a)
Separated/Separado(a)
Divorced/Divorciado(a)
Religious/Religioso(a)
Please fill out this field.
Religion/Religión
REQUIRED
(Select One)
Catholic
Baptist
Christian
Orthodox
Protestant
Pentecostal
Nonreligious (Secular/Agnostic/Atheist)
Hinduism
Chinese traditional religion
Islam
Buddhism
Sikhism
Juche
Spiritism
Judaism
Bahai
Jainism
Presbyterian
Other
Please fill out this field.
Sacraments/Sacramentos
Baptized/Bautizado
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
First Communion/Primera Comunión
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Confirmation/Confirmación
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Married/Matrimonio
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
Yes, Civil/Si Civil
No/No
Please fill out this field.
Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 5
Title/Titulo
REQUIRED
(Select One)
Mr./Sr.
Mrs./Sra.
Miss./Sta.
Ms.
Dr./Dr.
Rev.
Sister/Sor
Monsignor
Please fill out this field.
Gender/Género
REQUIRED
(Select One)
Male\Masculino
Female\Femenino
Please fill out this field.
Relation\Relación
REQUIRED
(Select One)
Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
Other/Otro
Please fill out this field.
If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
Please enter valid data.
Last Name/Apellido
REQUIRED
Please fill out this field.
Please enter valid data.
First Name/Primer Nombre
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name/Segundo Nombre
Please enter valid data.
Date of Birth/Fecha de Nacimiento MM/DD/YYYY
REQUIRED
Please fill out this field.
Please enter a date.
Country of Birth/Pais de Nacimiento
REQUIRED
Please fill out this field.
Please enter valid data.
Status/Estado Civil
REQUIRED
(Select One)
Married/Casado(a)
Co-habitating/Vive en unión Libre
Single/Soltero(a)
Widowed/Viudo(a)
Separated/Separado(a)
Divorced/Divorciado(a)
Religious/Religioso(a)
Please fill out this field.
Religion/Religión
REQUIRED
(Select One)
Catholic
Baptist
Christian
Orthodox
Protestant
Pentecostal
Nonreligious (Secular/Agnostic/Atheist)
Hinduism
Chinese traditional religion
Islam
Buddhism
Sikhism
Juche
Spiritism
Judaism
Bahai
Jainism
Presbyterian
Other
Please fill out this field.
Sacraments/Sacramentos
Baptized/Bautizado
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
First Communion/Primera Comunión
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Confirmation/Confirmación
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Married/Matrimonio
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
Yes, Civil/Si Civil
No/No
Please fill out this field.
Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 6
Title/Titulo
REQUIRED
(Select One)
Mr./Sr.
Mrs./Sra.
Miss./Sta.
Ms.
Dr./Dr.
Rev.
Sister/Sor
Monsignor
Please fill out this field.
Gender/Género
REQUIRED
(Select One)
Male\Masculino
Female\Femenino
Please fill out this field.
Relation\Relación
REQUIRED
(Select One)
Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
Other/Otro
Please fill out this field.
If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
Please enter valid data.
Last Name/Apellido
REQUIRED
Please fill out this field.
Please enter valid data.
First Name/Primer Nombre
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name/Segundo Nombre
Please enter valid data.
Date of Birth/Fecha de Nacimiento MM/DD/YYYY
REQUIRED
Please fill out this field.
Please enter a date.
Country of Birth/Pais de Nacimiento
REQUIRED
Please fill out this field.
Please enter valid data.
Status/Estado Civil
REQUIRED
(Select One)
Married/Casado(a)
Co-habitating/Vive en unión Libre
Single/Soltero(a)
Widowed/Viudo(a)
Separated/Separado(a)
Divorced/Divorciado(a)
Religious/Religioso(a)
Please fill out this field.
Religion/Religión
REQUIRED
(Select One)
Catholic
Baptist
Christian
Orthodox
Protestant
Pentecostal
Nonreligious (Secular/Agnostic/Atheist)
Hinduism
Chinese traditional religion
Islam
Buddhism
Sikhism
Juche
Spiritism
Judaism
Bahai
Jainism
Presbyterian
Other
Please fill out this field.
Sacraments/Sacramentos
Baptized/Bautizado
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
First Communion/Primera Comunión
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Confirmation/Confirmación
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Married/Matrimonio
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
Yes, Civil/Si Civil
No/No
Please fill out this field.
Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 7
Title/Titulo
REQUIRED
(Select One)
Mr./Sr.
Mrs./Sra.
Miss./Sta.
Ms.
Dr./Dr.
Rev.
Sister/Sor
Monsignor
Please fill out this field.
Gender/Género
REQUIRED
(Select One)
Male\Masculino
Female\Femenino
Please fill out this field.
Relation\Relación
REQUIRED
(Select One)
Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
Other/Otro
Please fill out this field.
If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
Please enter valid data.
Last Name/Apellido
REQUIRED
Please fill out this field.
Please enter valid data.
First Name/Primer Nombre
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name/Segundo Nombre
Please enter valid data.
Date of Birth/Fecha de Nacimiento MM/DD/YYYY
REQUIRED
Please fill out this field.
Please enter a date.
Country of Birth/Pais de Nacimiento
REQUIRED
Please fill out this field.
Please enter valid data.
Status/Estado Civil
REQUIRED
(Select One)
Married/Casado(a)
Co-habitating/Vive en unión Libre
Single/Soltero(a)
Widowed/Viudo(a)
Separated/Separado(a)
Divorced/Divorciado(a)
Religious/Religioso(a)
Please fill out this field.
Religion/Religión
REQUIRED
(Select One)
Catholic
Baptist
Christian
Orthodox
Protestant
Pentecostal
Nonreligious (Secular/Agnostic/Atheist)
Hinduism
Chinese traditional religion
Islam
Buddhism
Sikhism
Juche
Spiritism
Judaism
Bahai
Jainism
Presbyterian
Other
Please fill out this field.
Sacraments/Sacramentos
Baptized/Bautizado
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
First Communion/Primera Comunión
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Confirmation/Confirmación
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Married/Matrimonio
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
Yes, Civil/Si Civil
No/No
Please fill out this field.
Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 8
Title/Titulo
REQUIRED
(Select One)
Mr./Sr.
Mrs./Sra.
Miss./Sta.
Ms.
Dr./Dr.
Rev.
Sister/Sor
Monsignor
Please fill out this field.
Gender/Género
REQUIRED
(Select One)
Male\Masculino
Female\Femenino
Please fill out this field.
Relation\Relación
REQUIRED
(Select One)
Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
Other/Otro
Please fill out this field.
If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
Please enter valid data.
Last Name/Apellido
REQUIRED
Please fill out this field.
Please enter valid data.
First Name/Primer Nombre
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name/Segundo Nombre
Please enter valid data.
Date of Birth/Fecha de Nacimiento MM/DD/YYYY
REQUIRED
Please fill out this field.
Please enter a date.
Country of Birth/Pais de Nacimiento
REQUIRED
Please fill out this field.
Please enter valid data.
Status/Estado Civil
REQUIRED
(Select One)
Married/Casado(a)
Co-habitating/Vive en unión Libre
Single/Soltero(a)
Widowed/Viudo(a)
Separated/Separado(a)
Divorced/Divorciado(a)
Religious/Religioso(a)
Please fill out this field.
Religion/Religión
REQUIRED
(Select One)
Catholic
Baptist
Christian
Orthodox
Protestant
Pentecostal
Nonreligious (Secular/Agnostic/Atheist)
Hinduism
Chinese traditional religion
Islam
Buddhism
Sikhism
Juche
Spiritism
Judaism
Bahai
Jainism
Presbyterian
Other
Please fill out this field.
Sacraments/Sacramentos
Baptized/Bautizado
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
First Communion/Primera Comunión
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Confirmation/Confirmación
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Married/Matrimonio
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
Yes, Civil/Si Civil
No/No
Please fill out this field.
Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 9
Title/Titulo
REQUIRED
(Select One)
Mr./Sr.
Mrs./Sra.
Miss./Sta.
Ms.
Dr./Dr.
Rev.
Sister/Sor
Monsignor
Please fill out this field.
Gender/Género
REQUIRED
(Select One)
Male\Masculino
Female\Femenino
Please fill out this field.
Relation\Relación
REQUIRED
(Select One)
Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
Other/Otro
Please fill out this field.
If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
Please enter valid data.
Last Name/Apellido
REQUIRED
Please fill out this field.
Please enter valid data.
First Name/Primer Nombre
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name/Segundo Nombre
Please enter valid data.
Date of Birth/Fecha de Nacimiento MM/DD/YYYY
REQUIRED
Please fill out this field.
Please enter a date.
Country of Birth/Pais de Nacimiento
REQUIRED
Please fill out this field.
Please enter valid data.
Status/Estado Civil
REQUIRED
(Select One)
Married/Casado(a)
Co-habitating/Vive en unión Libre
Single/Soltero(a)
Widowed/Viudo(a)
Separated/Separado(a)
Divorced/Divorciado(a)
Religious/Religioso(a)
Please fill out this field.
Religion/Religión
REQUIRED
(Select One)
Catholic
Baptist
Christian
Orthodox
Protestant
Pentecostal
Nonreligious (Secular/Agnostic/Atheist)
Hinduism
Chinese traditional religion
Islam
Buddhism
Sikhism
Juche
Spiritism
Judaism
Bahai
Jainism
Presbyterian
Other
Please fill out this field.
Sacraments/Sacramentos
Baptized/Bautizado
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
First Communion/Primera Comunión
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Confirmation/Confirmación
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Married/Matrimonio
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
Yes, Civil/Si Civil
No/No
Please fill out this field.
Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 10
Title/Titulo
REQUIRED
(Select One)
Mr./Sr.
Mrs./Sra.
Miss./Sta.
Ms.
Dr./Dr.
Rev.
Sister/Sor
Monsignor
Please fill out this field.
Gender/Género
REQUIRED
(Select One)
Male\Masculino
Female\Femenino
Please fill out this field.
Relation\Relación
REQUIRED
(Select One)
Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
Other/Otro
Please fill out this field.
If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
Please enter valid data.
Last Name/Apellido
REQUIRED
Please fill out this field.
Please enter valid data.
First Name/Primer Nombre
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name/Segundo Nombre
Please enter valid data.
Date of Birth/Fecha de Nacimiento MM/DD/YYYY
REQUIRED
Please fill out this field.
Please enter a date.
Country of Birth/Pais de Nacimiento
REQUIRED
Please fill out this field.
Please enter valid data.
Status/Estado Civil
REQUIRED
(Select One)
Married/Casado(a)
Co-habitating/Vive en unión Libre
Single/Soltero(a)
Widowed/Viudo(a)
Separated/Separado(a)
Divorced/Divorciado(a)
Religious/Religioso(a)
Please fill out this field.
Religion/Religión
REQUIRED
(Select One)
Catholic
Baptist
Christian
Orthodox
Protestant
Pentecostal
Nonreligious (Secular/Agnostic/Atheist)
Hinduism
Chinese traditional religion
Islam
Buddhism
Sikhism
Juche
Spiritism
Judaism
Bahai
Jainism
Presbyterian
Other
Please fill out this field.
Sacraments/Sacramentos
Baptized/Bautizado
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
First Communion/Primera Comunión
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Confirmation/Confirmación
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Married/Matrimonio
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
Yes, Civil/Si Civil
No/No
Please fill out this field.
Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 11
Title/Titulo
REQUIRED
(Select One)
Mr./Sr.
Mrs./Sra.
Miss./Sta.
Ms.
Dr./Dr.
Rev.
Sister/Sor
Monsignor
Please fill out this field.
Gender/Género
REQUIRED
(Select One)
Male\Masculino
Female\Femenino
Please fill out this field.
Relation\Relación
REQUIRED
(Select One)
Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
Other/Otro
Please fill out this field.
If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
Please enter valid data.
Last Name/Apellido
REQUIRED
Please fill out this field.
Please enter valid data.
First Name/Primer Nombre
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name/Segundo Nombre
Please enter valid data.
Date of Birth/Fecha de Nacimiento MM/DD/YYYY
REQUIRED
Please fill out this field.
Please enter a date.
Country of Birth/Pais de Nacimiento
REQUIRED
Please fill out this field.
Please enter valid data.
Status/Estado Civil
REQUIRED
(Select One)
Married/Casado(a)
Co-habitating/Vive en unión Libre
Single/Soltero(a)
Widowed/Viudo(a)
Separated/Separado(a)
Divorced/Divorciado(a)
Religious/Religioso(a)
Please fill out this field.
Religion/Religión
REQUIRED
(Select One)
Catholic
Baptist
Christian
Orthodox
Protestant
Pentecostal
Nonreligious (Secular/Agnostic/Atheist)
Hinduism
Chinese traditional religion
Islam
Buddhism
Sikhism
Juche
Spiritism
Judaism
Bahai
Jainism
Presbyterian
Other
Please fill out this field.
Sacraments/Sacramentos
Baptized/Bautizado
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
First Communion/Primera Comunión
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Confirmation/Confirmación
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Married/Matrimonio
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
Yes, Civil/Si Civil
No/No
Please fill out this field.
Spouse, Children, Other/Esposo(a),Hijos(as),Otros # 12
Title/Titulo
REQUIRED
(Select One)
Mr./Sr.
Mrs./Sra.
Miss./Sta.
Ms.
Dr./Dr.
Rev.
Sister/Sor
Monsignor
Please fill out this field.
Gender/Género
REQUIRED
(Select One)
Male\Masculino
Female\Femenino
Please fill out this field.
Relation\Relación
REQUIRED
(Select One)
Spouse/Espozo(a)
Daughter/Hija
Son/Hijo
Father of head-spouse/Padre de la cabeza-cónyuge
Mother of head-Spouse/Madre de la cabeza/cónyuge
Stepdaughter/Hijastra
Stepson/Hijastro
Aunt of head-Spouse/ Tía de la cabeza / cónyuge
Uncle of head-Spouse/Tío de la cabeza / cónyuge
Other/Otro
Please fill out this field.
If your answer was other please specify the relationship/Si su respuesta fue otro por favor especifique la relación.
Please enter valid data.
Last Name/Apellido
REQUIRED
Please fill out this field.
Please enter valid data.
First Name/Primer Nombre
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name/Segundo Nombre
Please enter valid data.
Date of Birth/Fecha de Nacimiento MM/DD/YYYY
REQUIRED
Please fill out this field.
Please enter a date.
Country of Birth/Pais de Nacimiento
REQUIRED
Please fill out this field.
Please enter valid data.
Status/Estado Civil
REQUIRED
(Select One)
Married/Casado(a)
Co-habitating/Vive en unión Libre
Single/Soltero(a)
Widowed/Viudo(a)
Separated/Separado(a)
Divorced/Divorciado(a)
Religious/Religioso(a)
Please fill out this field.
Religion/Religión
REQUIRED
(Select One)
Catholic
Baptist
Christian
Orthodox
Protestant
Pentecostal
Nonreligious (Secular/Agnostic/Atheist)
Hinduism
Chinese traditional religion
Islam
Buddhism
Sikhism
Juche
Spiritism
Judaism
Bahai
Jainism
Presbyterian
Other
Please fill out this field.
Sacraments/Sacramentos
Baptized/Bautizado
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
First Communion/Primera Comunión
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Confirmation/Confirmación
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
No/No
Please fill out this field.
Married/Matrimonio
REQUIRED
(Select One)
Yes, Catholic/Si, Católico
Yes, Other Religion/Si, Otra Religión
Yes, Civil/Si Civil
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