![](https://www.pdfsearch.io/img/7360ea25790427f67a229808832763a3.jpg) Date: 2011-08-04 19:19:04
| | SCREENING CONSENT and DISCLOSURE FORM PLEASE PRINT If necessary, please use additional paper to answer questions below ENTITY: Saint Anthony of Padua R.C. Church, Rocky Point, NY 11778Add to Reading ListSource URL: www.starockypoint.comDownload Document from Source Website File Size: 32,47 KBShare Document on Facebook
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