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- Head of Household / Jefe de Familia
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Suffix Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Address / Domicilio
  
  Street Address / Dirección 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.
  
  Phone Number / Telefono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email / Correo Electronico REQUIRED Please fill out this field. Please enter an email address.
  
  How do you prefer to support St. Stephen? REQUIRED I will give online Please mail envelopes to my address. Please fill out this field.
  
  To set up your online giving click here
  
  Employment / Ocupación Please enter valid data.
  
  Head of Household Family Status / Jefe de Familia Estado Civil
  
  Potential Ministry Interest / interés potencial del ministerio Please enter valid data.
- Spouse Name / Nombre de Esposo(a)
  
  Prefix Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Suffix Please enter valid data.
  
  Gender / Sexo REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Spouse Phone Number / Telefono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spouse Email / Correo Electronico REQUIRED Please fill out this field. Please enter an email address.
  
  Employment / Ocupación Please enter valid data.
  
  Potential Ministry Interest / interés potencial del ministerio Please enter valid data.
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
  
  Child 2
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
  
  Child 3
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
  
  Child 4
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
  
  Child 5
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
  
  Child 6
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
  
  Child 7
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
  
  Child 8
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
  
  Child 9
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
  
  Child 10
  
  Child Name / Nombre de Niño(a) Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Grade / Grado del niño(a) Please enter valid data.
- Comments or Message / comentario o mensaje
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Address / Domicilio