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Miembros de la Familia (Family Member) 11
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Apellidos (Last Name)
REQUIRED
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Fecha de Nacimiento (Date of Birth)
REQUIRED
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Teléfono Celular - Si es aplicable (Cell Phone)
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Correo electrónico - Si es aplicable (Email)
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Religión (Religion)
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Estado Civil (Marital Status)
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Casado (married)
Soltero (single)
Viudo (widowed)
Divorciado (divorced)
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Sacramentos Recibidos (Sacraments Received)
REQUIRED
Bautismo (Baptism)
Primera Comunión (1st Communion)
Confirmación (Confirmation)
Ninguno (None)
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Iglesia del Bautismo (Church of Baptism)
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Ciudad del Bautismo (City of Baptism)
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Estado o País de Bautismo (State/Country of Baptism)
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Ocupación o Nombres de Escuelas y Grado (Occupation/Year in School)
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Miembros de la Familia (Family Member) 12
Parentesco Con el Jefe de Familia (Relationship to Head of Household)
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Esposo (husband)
Esposa (wife)
Hijo (son)
Hija (daughter)
Nieta (granddaughter)
Nieto (grandson)
Madre (mother)
Padre (father)
Otro (other)
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Si se selecciona "Otro", enumere la relación (If other, list relationship)
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Primer y Segundo Nombre (First and Middle Name)
REQUIRED
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Apellidos (Last Name)
REQUIRED
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Fecha de Nacimiento (Date of Birth)
REQUIRED
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Please enter a date.
Teléfono Celular - Si es aplicable (Cell Phone)
Maximum 20 characters
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Correo electrónico - Si es aplicable (Email)
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Religión (Religion)
REQUIRED
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Please enter valid data.
Estado Civil (Marital Status)
REQUIRED
(Select One)
Casado (married)
Soltero (single)
Viudo (widowed)
Divorciado (divorced)
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Sacramentos Recibidos (Sacraments Received)
REQUIRED
Bautismo (Baptism)
Primera Comunión (1st Communion)
Confirmación (Confirmation)
Ninguno (None)
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Iglesia del Bautismo (Church of Baptism)
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Ciudad del Bautismo (City of Baptism)
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Estado o País de Bautismo (State/Country of Baptism)
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Ocupación o Nombres de Escuelas y Grado (Occupation/Year in School)
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Comentarios: (Comments)
Correo Electrónico (Confirmation Email)
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