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Dyersville Pre-Canas

- Faith Formation

Dyersville Pre-Cana Details
Location:
St. Francis Xavier Basilica
203 Third St. SW
Dyersville, IA 52040
(Get directions)

Site Leaders:
Katie and Michael Wade
Email the Wades

Time:
9:30 AM – 6:15 PM

Dates:
Saturday, February 18, 2023

Please note the following information:
1. Please register at least one week prior to the event (using the online form below).
2. The registration cost is $50 per couple, which includes lunch and materials.
3. Questions about the specifics of the day (e.g. location, schedule, etc.) should be directed to the site leaders.
4. Please direct questions about registration and payment to Matt Selby, Director of Marriage and Family Life, at m.selby@dbqarch.org or 563-556-2580, ext. 233.
5. To request a refund or transfer of registration and payment to a different date/location, please contact Matt Selby at least one week prior to the program.
6. Information about the day will be communicated via email to registered participants prior to the program.
Dyersville Pre-Cana Registration
The maximum number of form submissions has been reached. This form is currently not available.
- Cost50.0
- Program Date REQUIRED Please fill out this field.
- Woman's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Religious Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Name Please enter valid data.
  
  Parish City Please enter valid data.
  
  Special Dietary or Accessibility Needs Please enter valid data.
- Man's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Religious Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Name Please enter valid data.
  
  Parish City Please enter valid data.
  
  Special Dietary or Accessibility Needs Please enter valid data.
- Couple's Information
  
  Date of Marriage REQUIRED Please fill out this field. Please enter a date.
  
  Preparing Clergy's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Church Name and City of Marriage REQUIRED Please fill out this field. Please enter valid data.
- Please make sure all required fields are completed before clicking "Proceed to Payment."
Total:

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