Please provide the following contact information about yourself:

First Name
Last Name
Middle Initial
Occupation
Company
Street Address
Address (cont.)
City
State
Zip Code
Work Phone
Home Phone
E-mail

Please provide the following information about your spouse:

First Name
Last Name
Middle Initial
Occupation
Company
Work Phone
E-mail

Please provide the following information about your child(ren):

First Name
Last Name
Middle Initial
Date of Birth
Sex	Male Female

First Name
Last Name
Middle Initial
Date of Birth
Sex	Male Female

First Name
Last Name
Middle Initial
Date of Birth
Sex	Male Female

I am interested in knowing more about the following ministries at Saint Jean Baptiste:

Catechetical program (CCD)      Catechumenate (RCIA)            
Cultural Life Committee         Family Life Ministry          
High School Mentor              Liturgy Committee               
Altar Server (Acolyte)          Choir and Music Ministry      
Communion Minister              Lector                          
Usher or Greeter                Maintenance and Cleaning      
Office (Secretarial, Computer)  Parish Outreach to Homebound    
Respect Life Committee          Senior Program                
Thrift Shop                     Toddler Play Group              
Yorkville Common Pantry         

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