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About the Parish Services & Programs Join Our Community! Important Resources
New Family for Saint Mary of the Valley, Monroe, WA
Family Information
* Last Name: * Family Email:
Phone: - - Other Phone: - - * Envelopes Request: Yes ? No
* Street Address:
* City:  * State: * Zip:
* Mail to Street Address: Yes No    
Mailing Address:
  City:   State:   Zip:
Notes:
Family Members
  * Head
of
Household		 * Title * First Name Middle Name * Last Name Suffix
1.  Yes  No
  * Date of Birth:  Click Here to display calendar (mm/dd/yyyy)          Email: 
 Child or
 Adult
* Family Relation
Preferred Name 		- -
Direct or Cell Phone
* Primary Language 		M  F
* Gender
2.  Yes  No
  * Date of Birth:  Click Here to display calendar (mm/dd/yyyy)          Email: 
 Child or
 Adult
* Family Relation
Preferred Name 		- -
Direct or Cell Phone
* Primary Language 		M  F
* Gender
3.  Yes  No
  * Date of Birth:  Click Here to display calendar (mm/dd/yyyy)          Email: 
 Child or
 Adult
* Family Relation
Preferred Name 		- -
Direct or Cell Phone
* Primary Language 		M  F
* Gender
4.  Yes  No
  * Date of Birth:  Click Here to display calendar (mm/dd/yyyy)          Email: 
 Child or
 Adult
* Family Relation
Preferred Name 		- -
Direct or Cell Phone
* Primary Language 		M  F
* Gender
5.  Yes  No
  * Date of Birth:  Click Here to display calendar (mm/dd/yyyy)          Email: 
 Child or
 Adult
* Family Relation
Preferred Name 		- -
Direct or Cell Phone
* Primary Language 		M  F
* Gender
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