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Monthly Donation

World Meeting of Families - 2015 Philadelphia

Family Registration

Please complete the online form below to register for this event. Please send initial 25% payment to: Catholic Charities/WMOF, 940 Broadway, Gary, 46402

* Required Fields

Family Name*:
Address*:
City/State*:   
Zip Code*:
Parish*:
Cell Phone:
Email Address:

Your Name*: Cell Phone*:
Spouse's Name: Cell Phone:

Child's Name: Gender Male Female Age:
Child's Name: Gender Male Female Age:
Child's Name: Gender Male Female Age:
Child's Name: Gender Male Female Age:
Child's Name: Gender Male Female Age:

Additional Family Member: Relationship:
Additional Family Member: Relationship:

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