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  • Family Name: REQUIRED Please fill out this field. Please enter valid data.
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  • Name of Parish you are Joining: St. Patrick, Colesburg St. Mark, Edgewood St. Joseph, Elkader St. Mary, Strawberry Point Sacred Heart, Volga
  • Adult 1 Information
  • First/Middle/Last Name: REQUIRED Please fill out this field. Please enter valid data.
  • Maiden Name: Please enter valid data.
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  • Adult 2 Information
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  • Child 1 Information
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  • First Communion: Please enter valid data.
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  • Child 2 Information
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  • Child 3 Information
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  • Child 4 Information
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  • Child 5 Information
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  • Child 6 Information
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