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Faith Building Program General Application

This application is required to purchase any Family of God, I Live My Faith, Light of Christ, or Parvuli Dei Medals.

Date: *

Please select the program that has been completed: *

Youth Information

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip Code: *

Phone Number: *

Parish: *

Date of Birth: *

Grade: *

Family of God / I Live My Faith

Mentor/Moderator:

Phone Number:

Email:

Please select the one of the following: *

Other:

Light of Christ / Parvuli Dei

Advisor/Counselor:

Phone Number:

Email:

Registration Forms - By Group