New Jerusalem
Haitian Baptist Church
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Family Info
How many people are in your family
1
2
3
4
5
6
7
8
Members
Family Member #1
Spouse
Head of Household
Child
Other Relative
Non Relative
Male
Female
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Family Member #2
Spouse
Head of Household
Child
Other Relative
Non Relative
Male
Female
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Family Member #3
Spouse
Head of Household
Child
Other Relative
Non Relative
Male
Female
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Work
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Family Member #4
Spouse
Head of Household
Child
Other Relative
Non Relative
Male
Female
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Family Member #5
Spouse
Head of Household
Child
Other Relative
Non Relative
Male
Female
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Work
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Family Member #6
Spouse
Head of Household
Child
Other Relative
Non Relative
Male
Female
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Work
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Family Member #7
Spouse
Head of Household
Child
Other Relative
Non Relative
Male
Female
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Work
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Family Member #8
Spouse
Head of Household
Child
Other Relative
Non Relative
Male
Female
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Work
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