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- Welcome

St. Francis of Assisi Parish is happy to welcome you! If you would like more information on any of our faith communities, please complete the contact information below.
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- Where do you primarily attend Mass? REQUIRED St. Ignatius of Loyola (Mt. Horeb) Holy Redeemer (Perry) Immaculate Conception (Barneveld) St. Bridget (Ridgeway) St. Patrick (Hollandale) Immaculate Conception (Blanchardville) Please fill out this field.
- We/I would like to receive giving envelopes REQUIRED Yes No Please fill out this field.
- We/I would like to learn more about our Catholic faith REQUIRED Yes No Please fill out this field.
- Adult Family Member(s) REQUIRED Please fill out this field.
  
  Adult Family Member 1
  
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  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 2
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 3
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 4
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 5
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 6
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 7
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 8
  
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
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  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 9
  
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 10
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 11
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 12
  
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 13
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 14
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 15
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Phone Number REQUIRED
  
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  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
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  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 16
  
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name If Applicable Please enter valid data.
  
  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED
  
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  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 17
  
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  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED
  
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  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 18
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 19
  
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  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
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  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
  
  Adult Family Member 20
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name If Applicable Please enter valid data.
  
  Are You The Head Of Household? REQUIRED Yes No Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes, In The Catholic Church Yes, Not In Catholic Church Not Baptized Unsure Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Confirmed In The Catholic Church No, Not Confirmed In The Catholic Church Please fill out this field.
  
  Catholic Marriage REQUIRED Yes, Married In The Catholic Church No, Not Married In The Catholic Church Please fill out this field.
- Child Family Member Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
  
  Child 15
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Baptism REQUIRED Yes, Baptized In The Catholic Church Yes, Baptized Not In The Catholic Church No, Not Baptized Please fill out this field.
  
  1st Reconciliation REQUIRED Yes, Made 1st Confession No, Have Not Made 1st Confession Please fill out this field.
  
  1st Holy Communion REQUIRED Yes, Made 1st Holy Communion In The Catholic Church No, Have Not Made 1st Holy Communion In The Catholic Church Please fill out this field.
  
  Confirmation REQUIRED Yes, Have Been Confirmed In The Catholic Church No, Have Not Been Confirmed In The Catholic Church Please fill out this field.
- A parish representative will reach out to welcome you and gather other registration information. Is there a day or time to best contact you? REQUIRED Please fill out this field.
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ST. FRANCIS OF ASSISI PARISH

MT. HOREB, BARNEVELD, HOLLANDALE, Perry, Ridgeway & BLANCHARDVILLE

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