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Welcome Retreat Form

- Ministries

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- Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
- First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
- Select One REQUIRED Male Female Please fill out this field.
- Preferred Language: REQUIRED Please fill out this field.
- Email Address / Correo Electrónico REQUIRED Please fill out this field. Please enter an email address.
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- Best Way to Reach You? / ¿Como prefiere ser contactado? REQUIRED Please fill out this field.
- Spouse or Nearest Relative or Friend / Conyuge, pariente cercano o amigo
  
  First and Last Name / Nombre Completo REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address / Correo Electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Phone number / número de teléfono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address/Direccion REQUIRED Please fill out this field. Please enter valid data.
  
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- Membership / Parroquianos
  
  Are you a current St. Mark member? / ¿Es usted un miembro actual de St. Mark? REQUIRED Please fill out this field.
  
  Do you attend mass at St. Mark on a regular basis? / ¿Asiste misa en St. Mark regularmente? REQUIRED Please fill out this field.
- Special Needs / Necesidades Especiales
  
  Special Dietary Needs? / ?Necesidades dieteticas especiales? REQUIRED Please fill out this field.
  
  Special Physical Needs? / ?Necesidades fisicas especiales? REQUIRED Please fill out this field.
  
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St. Mark the Evangelist Catholic Church

PLANO, TX

Welcome Retreat Form