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New Hampton Pre-Cana

- Marriage & Family Life

Time and Dates:
Sunday, 8:00 AM – 4:30 PM

Location:
Holy Family Church, Hynes Hall
216 N. Broadway Ave.
New Hampton, Iowa 50659
(Get directions)

Site Leaders:
Deacon Victor & Nancy DeSloover
563-429-2773
vicsautobody@yahoo.com

Please note the following before completing your registration:
1. With the preparing minister’s permission (typically the priest or deacon you are working with for marriage prep), please register a minimum of one week prior to the event.
2. The registration fee is $50.00 per couple, which includes lunch and materials.
3. Please register online with a credit or debit card by filling out the form below.
4. Please direct any questions about registration and payment to Matt Selby, Director of the Marriage and Family Life Office, Archdiocese of Dubuque, at m.selby@dbqarch.org or 800-876-3546 ext. 233.
5. Questions about the specifics of the day (e.g. location, schedule, etc.) should be directed to the site leaders.
6. A refund or transfer of registration to a different date/location is available if the Marriage and Family Life Office is notified at least one week prior to the event.
New Hampton Pre-Cana Registration
The maximum number of form submissions has been reached. This form is currently not available.
- Please select the date you plan to attend.
- Program Date REQUIRED Sunday, January 26, 2020 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 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.
- 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 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.
- 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 of Marriage REQUIRED Please fill out this field. Please enter valid data.
  
  City of Marriage REQUIRED Please fill out this field. Please enter valid data.
  
  Do either of you have any accessibility or dietary restrictions needing special accommodations? If so, please explain.
  
  Please make sure all required fields are completed before clicking "Proceed to Payment."
- Total50.0
Total:

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