{"id":23186,"date":"2022-07-21T13:04:35","date_gmt":"2022-07-21T18:04:35","guid":{"rendered":"https:\/\/stmatthias-milw.org\/?page_id=23186"},"modified":"2023-06-19T14:56:42","modified_gmt":"2023-06-19T19:56:42","slug":"christian-formation-registration-2023-2024","status":"publish","type":"page","link":"https:\/\/stmatthias-milw.org\/christian-formation-registration-2023-2024\/","title":{"rendered":"Christian Formation Registration 2023-2024"},"content":{"rendered":"<script type=\"text\/javascript\">var 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id=\"field_67_1\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_1\"><label class='gfield_label gform-field-label' for='input_67_1' >Today&#039;s Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_1' id='input_67_1' type='text' value='05\/07\/2024' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_67_1_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_67_1_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_67_1' class='gform_hidden' value='https:\/\/stmatthias-milw.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_67_2\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_2\"><label class='gfield_label gform-field-label' for='input_67_2' >Family Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_67_2'>(Last Name)<\/div><div class='ginput_container ginput_container_text'><input name='input_2' id='input_67_2' type='text' value='' class='medium'  aria-describedby=\"gfield_description_67_2\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_3\"  class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_3\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_67_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_3_1_container' >\n                                        <input type='text' name='input_3.1' id='input_67_3_1' value=''    aria-required='true'    \/>\n                                        <label for='input_67_3_1' id='input_67_3_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_67_3_3' value=''    aria-required='true'    \/>\n                                    <label for='input_67_3_3' id='input_67_3_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_3_4_container' >\n                                        <select name='input_3.4' id='input_67_3_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_3_4' id='input_67_3_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_67_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_67_3_5' value=''    aria-required='true'    \/>\n                                    <label for='input_67_3_5' id='input_67_3_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_3.6' id='input_67_3_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_119\"  class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_119\"><label class='gfield_label gform-field-label' for='input_67_119' >Main Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_119' id='input_67_119' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_67_4\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_4\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Home Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_67_4'>The Christian Formation Office uses this email address to inform you of important information about the Christian Formation year.  This address also used to confirm your registration.<\/div><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_67_4_container'>\n                                <span id='input_67_4_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='text' name='input_4' id='input_67_4' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_67_4\" \/>\n                                    <label for='input_67_4' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_67_4_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='text' name='input_4_2' id='input_67_4_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_67_4\" \/>\n                                    <label for='input_67_4_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_67_19\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_19\"><h2 class=\"gsection_title\">Adult Member of Household<\/h2><\/li><li id=\"field_67_5\"  class=\"gfield gfield--type-text gf_left_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_5\"><label class='gfield_label gform-field-label' for='input_67_5' >Preferred title<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_67_5' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_6\"  class=\"gfield gfield--type-text gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_6\"><label class='gfield_label gform-field-label' for='input_67_6' >First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_67_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_7\"  class=\"gfield gfield--type-text gf_right_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_7\"><label class='gfield_label gform-field-label' for='input_67_7' >Maiden Name<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_67_7' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_9\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_9\"><label class='gfield_label gform-field-label' for='input_67_9' >Religion<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_67_9' type='text' value='Catholic' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_120\"  class=\"gfield gfield--type-phone gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_120\"><label class='gfield_label gform-field-label' for='input_67_120' >Mobile Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_120' id='input_67_120' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_67_130\"  class=\"gfield gfield--type-phone gf_right_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_130\"><label class='gfield_label gform-field-label' for='input_67_130' >Work Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_130' id='input_67_130' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_67_199\"  class=\"gfield gfield--type-section gsection gf_left_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_199\"><h2 class=\"gsection_title\">Second Adult Member of Household<\/h2><\/li><li id=\"field_67_198\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_right_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_198\"><label class='gfield_label gform-field-label screen-reader-text'  ><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_198'>\n\t\t\t<li class='gchoice gchoice_67_198_0'>\n\t\t\t\t<input name='input_198' type='radio' value='Yes' checked='checked' id='choice_67_198_0'    \/>\n\t\t\t\t<label for='choice_67_198_0' id='label_67_198_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_198_1'>\n\t\t\t\t<input name='input_198' type='radio' value='No'  id='choice_67_198_1'    \/>\n\t\t\t\t<label for='choice_67_198_1' id='label_67_198_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_197\"  class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_197\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_67_197'>\n                            \n                            <span id='input_67_197_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_197.3' id='input_67_197_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_197_3' class='gform-field-label gform-field-label--type-sub '>Preferred title<\/label>\n                                                <\/span>\n                            <span id='input_67_197_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_197.4' id='input_67_197_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_197_4' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            <span id='input_67_197_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_197.6' id='input_67_197_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_197_6' class='gform-field-label gform-field-label--type-sub '>Maiden Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_67_121\"  class=\"gfield gfield--type-phone gf_left_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_121\"><label class='gfield_label gform-field-label' for='input_67_121' >Mobile Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_121' id='input_67_121' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_67_131\"  class=\"gfield gfield--type-phone gf_right_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_131\"><label class='gfield_label gform-field-label' for='input_67_131' >Work Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_131' id='input_67_131' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_67_136\"  class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_136\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Personal Email<\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_67_136_container'>\n                                <span id='input_67_136_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='text' name='input_136' id='input_67_136' value=''     aria-invalid=\"false\"  \/>\n                                    <label for='input_67_136' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_67_136_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='text' name='input_136_2' id='input_67_136_2' value=''     aria-invalid=\"false\"  \/>\n                                    <label for='input_67_136_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_67_133\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_133\"><label class='gfield_label gform-field-label'  >2nd Adult Address<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_133'>\n\t\t\t<li class='gchoice gchoice_67_133_0'>\n\t\t\t\t<input name='input_133' type='radio' value='Same as Above' checked='checked' id='choice_67_133_0'    \/>\n\t\t\t\t<label for='choice_67_133_0' id='label_67_133_0' class='gform-field-label gform-field-label--type-inline'>Same as Above<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_133_1'>\n\t\t\t\t<input name='input_133' type='radio' value='Separate Address'  id='choice_67_133_1'    \/>\n\t\t\t\t<label for='choice_67_133_1' id='label_67_133_1' class='gform-field-label gform-field-label--type-inline'>Separate Address<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_134\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_134\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >My Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_67_134' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_134_1_container' >\n                                        <input type='text' name='input_134.1' id='input_67_134_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_134_1' id='input_67_134_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_134_3_container' >\n                                    <input type='text' name='input_134.3' id='input_67_134_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_134_3' id='input_67_134_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_134_4_container' >\n                                        <input type='text' name='input_134.4' id='input_67_134_4' value='Wisconsin'     placeholder='Wisconsin' aria-required='false'    \/>\n                                        <label for='input_67_134_4' id='input_67_134_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_67_134_5_container' >\n                                    <input type='text' name='input_134.5' id='input_67_134_5' value=''    aria-required='false'    \/>\n                                    <label for='input_67_134_5' id='input_67_134_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_134.6' id='input_67_134_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_33\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_33\"><h2 class=\"gsection_title\">Marital Status of Adult Members<\/h2><\/li><li id=\"field_67_34\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_34\"><label class='gfield_label gform-field-label' for='input_67_34' >Marital Status<\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_67_34' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Single' >Single<\/option><option value='Separated' >Separated<\/option><option value='Divorced' >Divorced<\/option><option value='Widowed' >Widowed<\/option><option value='Married' selected='selected'>Married<\/option><\/select><\/div><\/li><li id=\"field_67_132\"  class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_132\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Name of Primary Guardian<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_67_132'>\n                            \n                            <span id='input_67_132_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_132.3' id='input_67_132_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_132_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_67_132_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_132.6' id='input_67_132_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_132_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_67_40\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_40\"><h2 class=\"gsection_title\">Names of Children<\/h2><\/li><li id=\"field_67_41\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_41\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >1st Child<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_67_41'>\n                            \n                            <span id='input_67_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_67_41_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_67_41_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            <span id='input_67_41_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.4' id='input_67_41_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_41_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_67_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_67_41_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_67_41_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_67_42\"  class=\"gfield gfield--type-radio gfield--type-choice gf_left_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_42\"><label class='gfield_label gform-field-label'  >Gender<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_42'>\n\t\t\t<li class='gchoice gchoice_67_42_0'>\n\t\t\t\t<input name='input_42' type='radio' value='Male'  id='choice_67_42_0'    \/>\n\t\t\t\t<label for='choice_67_42_0' id='label_67_42_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_42_1'>\n\t\t\t\t<input name='input_42' type='radio' value='Female'  id='choice_67_42_1'    \/>\n\t\t\t\t<label for='choice_67_42_1' id='label_67_42_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_43\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_43\"><label class='gfield_label gform-field-label' for='input_67_43' >Birth Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_43' id='input_67_43' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_67_43_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_67_43_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_67_43' class='gform_hidden' value='https:\/\/stmatthias-milw.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_67_200\"  class=\"gfield gfield--type-select gf_right_third gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_200\"><label class='gfield_label gform-field-label' for='input_67_200' >Grade<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_200' id='input_67_200' class='medium gfield_select'  aria-describedby=\"gfield_description_67_200\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Select a Grade ...' >Select a Grade &#8230;<\/option><option value='K 4' >K 4<\/option><option value='K 5' >K 5<\/option><option value='1st Grade' >1st Grade<\/option><option value='2nd Grade' >2nd Grade<\/option><option value='3rd Grade' >3rd Grade<\/option><option value='4th Grade' >4th Grade<\/option><option value='5th Grade' >5th Grade<\/option><option value='6th Grade' >6th Grade<\/option><option value='7th Grade' >7th Grade<\/option><option value='8th Grade' >8th Grade<\/option><option value='9th Grade' >9th Grade<\/option><option value='10th Grade' >10th Grade<\/option><option value='11th Grade' >11th Grade<\/option><option value='12th Grade' >12th Grade<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_67_200'>Grade in the fall of this year<\/div><\/li><li id=\"field_67_46\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_46\"><label class='gfield_label gform-field-label' for='input_67_46' >School<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_67_46' type='text' value='' class='large'  aria-describedby=\"gfield_description_67_46\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_67_46'>Name of the school.<\/div><\/li><li id=\"field_67_127\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_127\"><label class='gfield_label gform-field-label'  >Have there been any gaps where your child has not received Christian Formation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_127'>\n\t\t\t<li class='gchoice gchoice_67_127_0'>\n\t\t\t\t<input name='input_127' type='radio' value='Yes'  id='choice_67_127_0'    \/>\n\t\t\t\t<label for='choice_67_127_0' id='label_67_127_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_127_1'>\n\t\t\t\t<input name='input_127' type='radio' value='No' checked='checked' id='choice_67_127_1'    \/>\n\t\t\t\t<label for='choice_67_127_1' id='label_67_127_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_128\"  class=\"gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_128\"><label class='gfield_label gform-field-label' for='input_67_128' >What grade periods did they miss Christian Formation?<\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_67_128' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_122\"  class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_122\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Baptism<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_122' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_122_1_container' >\n                                        <input type='text' name='input_122.1' id='input_67_122_1' value=''    aria-required='true'    \/>\n                                        <label for='input_67_122_1' id='input_67_122_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Baptism<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_122_3_container' >\n                                    <input type='text' name='input_122.3' id='input_67_122_3' value=''    aria-required='true'    \/>\n                                    <label for='input_67_122_3' id='input_67_122_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_122_4_container' >\n                                        <select name='input_122.4' id='input_67_122_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_122_4' id='input_67_122_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_67_122_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_124\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_124\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Reconciliation<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_124' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_124_1_container' >\n                                        <input type='text' name='input_124.1' id='input_67_124_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_124_1' id='input_67_124_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Reconciliation<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_124_3_container' >\n                                    <input type='text' name='input_124.3' id='input_67_124_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_124_3' id='input_67_124_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_124_4_container' >\n                                        <select name='input_124.4' id='input_67_124_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_124_4' id='input_67_124_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_124.6' id='input_67_124_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_125\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_125\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of 1st Eucharist<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_125' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_125_1_container' >\n                                        <input type='text' name='input_125.1' id='input_67_125_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_125_1' id='input_67_125_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Eucharist<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_125_3_container' >\n                                    <input type='text' name='input_125.3' id='input_67_125_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_125_3' id='input_67_125_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_125_4_container' >\n                                        <select name='input_125.4' id='input_67_125_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_125_4' id='input_67_125_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_125.6' id='input_67_125_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_126\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_126\"><label class='gfield_label gform-field-label' for='input_67_126' >Child&#039;s personal history<\/label><div class='gfield_description' id='gfield_description_67_126'>List any personal history that we should be sensitive to physical, emotional or learning disabilities.  (We keep this information in strict confidence.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_126' id='input_67_126' class='textarea medium'  aria-describedby=\"gfield_description_67_126\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_67_48\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_48\"><label class='gfield_label gform-field-label'  >Second Child<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_48'>\n\t\t\t<li class='gchoice gchoice_67_48_0'>\n\t\t\t\t<input name='input_48' type='radio' value='Yes'  id='choice_67_48_0'    \/>\n\t\t\t\t<label for='choice_67_48_0' id='label_67_48_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_48_1'>\n\t\t\t\t<input name='input_48' type='radio' value='No' checked='checked' id='choice_67_48_1'    \/>\n\t\t\t\t<label for='choice_67_48_1' id='label_67_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_47\"  class=\"gfield gfield--type-section gsection gf_middle_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_47\"><h2 class=\"gsection_title\">Second Child<\/h2><\/li><li id=\"field_67_138\"  class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_138\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >2nd Child<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_67_138'>\n                            \n                            <span id='input_67_138_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_138.3' id='input_67_138_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_138_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            <span id='input_67_138_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_138.4' id='input_67_138_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_138_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_67_138_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_138.6' id='input_67_138_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_138_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_67_139\"  class=\"gfield gfield--type-radio gfield--type-choice gf_left_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_139\"><label class='gfield_label gform-field-label'  >Gender<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_139'>\n\t\t\t<li class='gchoice gchoice_67_139_0'>\n\t\t\t\t<input name='input_139' type='radio' value='Male'  id='choice_67_139_0'    \/>\n\t\t\t\t<label for='choice_67_139_0' id='label_67_139_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_139_1'>\n\t\t\t\t<input name='input_139' type='radio' value='Female'  id='choice_67_139_1'    \/>\n\t\t\t\t<label for='choice_67_139_1' id='label_67_139_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_140\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_middle_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_140\"><label class='gfield_label gform-field-label' for='input_67_140' >Birth Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_140' id='input_67_140' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_67_140_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_67_140_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_67_140' class='gform_hidden' value='https:\/\/stmatthias-milw.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_67_205\"  class=\"gfield gfield--type-select gf_right_third gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_205\"><label class='gfield_label gform-field-label' for='input_67_205' >Grade<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_205' id='input_67_205' class='medium gfield_select'  aria-describedby=\"gfield_description_67_205\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Select a Grade ...' >Select a Grade &#8230;<\/option><option value='K 4' >K 4<\/option><option value='K 5' >K 5<\/option><option value='1st Grade' >1st Grade<\/option><option value='2nd Grade' >2nd Grade<\/option><option value='3rd Grade' >3rd Grade<\/option><option value='4th Grade' >4th Grade<\/option><option value='5th Grade' >5th Grade<\/option><option value='6th Grade' >6th Grade<\/option><option value='7th Grade' >7th Grade<\/option><option value='8th Grade' >8th Grade<\/option><option value='9th Grade' >9th Grade<\/option><option value='10th Grade' >10th Grade<\/option><option value='11th Grade' >11th Grade<\/option><option value='12th Grade' >12th Grade<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_67_205'>Grade in the fall of this year<\/div><\/li><li id=\"field_67_141\"  class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_141\"><label class='gfield_label gform-field-label' for='input_67_141' >School<\/label><div class='ginput_container ginput_container_text'><input name='input_141' id='input_67_141' type='text' value='' class='large'  aria-describedby=\"gfield_description_67_141\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_67_141'>Name of the school<\/div><\/li><li id=\"field_67_142\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_142\"><label class='gfield_label gform-field-label'  >Have there been any gaps where your child has not received Christian Formation?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_142'>\n\t\t\t<li class='gchoice gchoice_67_142_0'>\n\t\t\t\t<input name='input_142' type='radio' value='Yes'  id='choice_67_142_0'    \/>\n\t\t\t\t<label for='choice_67_142_0' id='label_67_142_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_142_1'>\n\t\t\t\t<input name='input_142' type='radio' value='No' checked='checked' id='choice_67_142_1'    \/>\n\t\t\t\t<label for='choice_67_142_1' id='label_67_142_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_143\"  class=\"gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_143\"><label class='gfield_label gform-field-label' for='input_67_143' >What grade periods did they miss Christian Formation?<\/label><div class='ginput_container ginput_container_text'><input name='input_143' id='input_67_143' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_144\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_144\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Baptism<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_144' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_144_1_container' >\n                                        <input type='text' name='input_144.1' id='input_67_144_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_144_1' id='input_67_144_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Baptism<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_144_3_container' >\n                                    <input type='text' name='input_144.3' id='input_67_144_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_144_3' id='input_67_144_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_144_4_container' >\n                                        <select name='input_144.4' id='input_67_144_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_144_4' id='input_67_144_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_144.6' id='input_67_144_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_145\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_145\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Reconciliation<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_145' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_145_1_container' >\n                                        <input type='text' name='input_145.1' id='input_67_145_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_145_1' id='input_67_145_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Reconciliation<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_145_3_container' >\n                                    <input type='text' name='input_145.3' id='input_67_145_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_145_3' id='input_67_145_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_145_4_container' >\n                                        <select name='input_145.4' id='input_67_145_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_145_4' id='input_67_145_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_145.6' id='input_67_145_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_146\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_146\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of 1st Eucharist<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_146' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_146_1_container' >\n                                        <input type='text' name='input_146.1' id='input_67_146_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_146_1' id='input_67_146_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Eucharist<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_146_3_container' >\n                                    <input type='text' name='input_146.3' id='input_67_146_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_146_3' id='input_67_146_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_146_4_container' >\n                                        <select name='input_146.4' id='input_67_146_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_146_4' id='input_67_146_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_146.6' id='input_67_146_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_147\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_147\"><label class='gfield_label gform-field-label' for='input_67_147' >Child&#039;s personal history<\/label><div class='gfield_description' id='gfield_description_67_147'>List any personal history that we should be sensitive to physical, emotional or learning disabilities.  (We keep this information in strict confidence.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_147' id='input_67_147' class='textarea medium'  aria-describedby=\"gfield_description_67_147\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_67_148\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_148\"><label class='gfield_label gform-field-label'  >Third Child<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_148'>\n\t\t\t<li class='gchoice gchoice_67_148_0'>\n\t\t\t\t<input name='input_148' type='radio' value='Yes'  id='choice_67_148_0'    \/>\n\t\t\t\t<label for='choice_67_148_0' id='label_67_148_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_148_1'>\n\t\t\t\t<input name='input_148' type='radio' value='No' checked='checked' id='choice_67_148_1'    \/>\n\t\t\t\t<label for='choice_67_148_1' id='label_67_148_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_149\"  class=\"gfield gfield--type-section gsection gf_middle_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_149\"><h2 class=\"gsection_title\">Third Child<\/h2><\/li><li id=\"field_67_150\"  class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_150\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >3rd Child<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_67_150'>\n                            \n                            <span id='input_67_150_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_150.3' id='input_67_150_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_150_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            <span id='input_67_150_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_150.4' id='input_67_150_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_150_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_67_150_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_150.6' id='input_67_150_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_150_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_67_152\"  class=\"gfield gfield--type-radio gfield--type-choice gf_left_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_152\"><label class='gfield_label gform-field-label'  >Gender<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_152'>\n\t\t\t<li class='gchoice gchoice_67_152_0'>\n\t\t\t\t<input name='input_152' type='radio' value='Male'  id='choice_67_152_0'    \/>\n\t\t\t\t<label for='choice_67_152_0' id='label_67_152_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_152_1'>\n\t\t\t\t<input name='input_152' type='radio' value='Female'  id='choice_67_152_1'    \/>\n\t\t\t\t<label for='choice_67_152_1' id='label_67_152_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_153\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_middle_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_153\"><label class='gfield_label gform-field-label' for='input_67_153' >Birth Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_153' id='input_67_153' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_67_153_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_67_153_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_67_153' class='gform_hidden' value='https:\/\/stmatthias-milw.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_67_202\"  class=\"gfield gfield--type-select gf_right_third field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_202\"><label class='gfield_label gform-field-label' for='input_67_202' >Grade<\/label><div class='ginput_container ginput_container_select'><select name='input_202' id='input_67_202' class='medium gfield_select'  aria-describedby=\"gfield_description_67_202\"   aria-invalid=\"false\" ><option value='Select a Grade ...' >Select a Grade &#8230;<\/option><option value='K 4' >K 4<\/option><option value='K 5' >K 5<\/option><option value='1st Grade' >1st Grade<\/option><option value='2nd Grade' >2nd Grade<\/option><option value='3rd Grade' >3rd Grade<\/option><option value='4th Grade' >4th Grade<\/option><option value='5th Grade' >5th Grade<\/option><option value='6th Grade' >6th Grade<\/option><option value='7th Grade' >7th Grade<\/option><option value='8th Grade' >8th Grade<\/option><option value='9th Grade' >9th Grade<\/option><option value='10th Grade' >10th Grade<\/option><option value='11th Grade' >11th Grade<\/option><option value='12th Grade' >12th Grade<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_67_202'>Grade in the fall of this year<\/div><\/li><li id=\"field_67_154\"  class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_154\"><label class='gfield_label gform-field-label' for='input_67_154' >School<\/label><div class='ginput_container ginput_container_text'><input name='input_154' id='input_67_154' type='text' value='' class='large'  aria-describedby=\"gfield_description_67_154\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_67_154'>Name of the school<\/div><\/li><li id=\"field_67_155\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_155\"><label class='gfield_label gform-field-label'  >Have there been any gaps where your child has not received Christian Formation?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_155'>\n\t\t\t<li class='gchoice gchoice_67_155_0'>\n\t\t\t\t<input name='input_155' type='radio' value='Yes'  id='choice_67_155_0'    \/>\n\t\t\t\t<label for='choice_67_155_0' id='label_67_155_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_155_1'>\n\t\t\t\t<input name='input_155' type='radio' value='No' checked='checked' id='choice_67_155_1'    \/>\n\t\t\t\t<label for='choice_67_155_1' id='label_67_155_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_156\"  class=\"gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_156\"><label class='gfield_label gform-field-label' for='input_67_156' >What grade periods did they miss Christian Formation?<\/label><div class='ginput_container ginput_container_text'><input name='input_156' id='input_67_156' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_157\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_157\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Baptism<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_157' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_157_1_container' >\n                                        <input type='text' name='input_157.1' id='input_67_157_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_157_1' id='input_67_157_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Baptism<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_157_3_container' >\n                                    <input type='text' name='input_157.3' id='input_67_157_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_157_3' id='input_67_157_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_157_4_container' >\n                                        <select name='input_157.4' id='input_67_157_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_157_4' id='input_67_157_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_157.6' id='input_67_157_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_158\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_158\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Reconciliation<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_158' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_158_1_container' >\n                                        <input type='text' name='input_158.1' id='input_67_158_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_158_1' id='input_67_158_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Reconciliation<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_158_3_container' >\n                                    <input type='text' name='input_158.3' id='input_67_158_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_158_3' id='input_67_158_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_158_4_container' >\n                                        <select name='input_158.4' id='input_67_158_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_158_4' id='input_67_158_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_158.6' id='input_67_158_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_159\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_159\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of 1st Eucharist<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_159' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_159_1_container' >\n                                        <input type='text' name='input_159.1' id='input_67_159_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_159_1' id='input_67_159_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Eucharist<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_159_3_container' >\n                                    <input type='text' name='input_159.3' id='input_67_159_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_159_3' id='input_67_159_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_159_4_container' >\n                                        <select name='input_159.4' id='input_67_159_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_159_4' id='input_67_159_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_159.6' id='input_67_159_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_160\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_160\"><label class='gfield_label gform-field-label' for='input_67_160' >Child&#039;s personal history<\/label><div class='gfield_description' id='gfield_description_67_160'>List any personal history that we should be sensitive to physical, emotional or learning disabilities.  (We keep this information in strict confidence.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_160' id='input_67_160' class='textarea medium'  aria-describedby=\"gfield_description_67_160\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_67_161\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_161\"><label class='gfield_label gform-field-label'  >Fourth Child<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_161'>\n\t\t\t<li class='gchoice gchoice_67_161_0'>\n\t\t\t\t<input name='input_161' type='radio' value='Yes'  id='choice_67_161_0'    \/>\n\t\t\t\t<label for='choice_67_161_0' id='label_67_161_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_161_1'>\n\t\t\t\t<input name='input_161' type='radio' value='No' checked='checked' id='choice_67_161_1'    \/>\n\t\t\t\t<label for='choice_67_161_1' id='label_67_161_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_151\"  class=\"gfield gfield--type-section gsection gf_middle_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_151\"><h2 class=\"gsection_title\">Fourth Child<\/h2><\/li><li id=\"field_67_163\"  class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_163\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >4th Child<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_67_163'>\n                            \n                            <span id='input_67_163_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_163.3' id='input_67_163_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_163_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            <span id='input_67_163_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_163.4' id='input_67_163_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_163_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_67_163_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_163.6' id='input_67_163_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_163_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_67_164\"  class=\"gfield gfield--type-radio gfield--type-choice gf_left_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_164\"><label class='gfield_label gform-field-label'  >Gender<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_164'>\n\t\t\t<li class='gchoice gchoice_67_164_0'>\n\t\t\t\t<input name='input_164' type='radio' value='Male'  id='choice_67_164_0'    \/>\n\t\t\t\t<label for='choice_67_164_0' id='label_67_164_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_164_1'>\n\t\t\t\t<input name='input_164' type='radio' value='Female'  id='choice_67_164_1'    \/>\n\t\t\t\t<label for='choice_67_164_1' id='label_67_164_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_165\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_middle_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_165\"><label class='gfield_label gform-field-label' for='input_67_165' >Birth Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_165' id='input_67_165' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_67_165_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_67_165_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_67_165' class='gform_hidden' value='https:\/\/stmatthias-milw.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_67_203\"  class=\"gfield gfield--type-select gf_right_third field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_203\"><label class='gfield_label gform-field-label' for='input_67_203' >Grade<\/label><div class='ginput_container ginput_container_select'><select name='input_203' id='input_67_203' class='medium gfield_select'  aria-describedby=\"gfield_description_67_203\"   aria-invalid=\"false\" ><option value='Select a Grade ...' >Select a Grade &#8230;<\/option><option value='K 4' >K 4<\/option><option value='K 5' >K 5<\/option><option value='1st Grade' >1st Grade<\/option><option value='2nd Grade' >2nd Grade<\/option><option value='3rd Grade' >3rd Grade<\/option><option value='4th Grade' >4th Grade<\/option><option value='5th Grade' >5th Grade<\/option><option value='6th Grade' >6th Grade<\/option><option value='7th Grade' >7th Grade<\/option><option value='8th Grade' >8th Grade<\/option><option value='9th Grade' >9th Grade<\/option><option value='10th Grade' >10th Grade<\/option><option value='11th Grade' >11th Grade<\/option><option value='12th Grade' >12th Grade<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_67_203'>Grade in the fall of this year<\/div><\/li><li id=\"field_67_166\"  class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_166\"><label class='gfield_label gform-field-label' for='input_67_166' >School<\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_67_166' type='text' value='' class='large'  aria-describedby=\"gfield_description_67_166\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_67_166'>Name of the school<\/div><\/li><li id=\"field_67_167\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_167\"><label class='gfield_label gform-field-label'  >Have there been any gaps where your child has not received Christian Formation?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_167'>\n\t\t\t<li class='gchoice gchoice_67_167_0'>\n\t\t\t\t<input name='input_167' type='radio' value='Yes'  id='choice_67_167_0'    \/>\n\t\t\t\t<label for='choice_67_167_0' id='label_67_167_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_167_1'>\n\t\t\t\t<input name='input_167' type='radio' value='No' checked='checked' id='choice_67_167_1'    \/>\n\t\t\t\t<label for='choice_67_167_1' id='label_67_167_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_168\"  class=\"gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_168\"><label class='gfield_label gform-field-label' for='input_67_168' >What grade periods did they miss Christian Formation?<\/label><div class='ginput_container ginput_container_text'><input name='input_168' id='input_67_168' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_169\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_169\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Baptism<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_169' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_169_1_container' >\n                                        <input type='text' name='input_169.1' id='input_67_169_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_169_1' id='input_67_169_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Baptism<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_169_3_container' >\n                                    <input type='text' name='input_169.3' id='input_67_169_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_169_3' id='input_67_169_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_169_4_container' >\n                                        <select name='input_169.4' id='input_67_169_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_169_4' id='input_67_169_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_169.6' id='input_67_169_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_170\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_170\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Reconciliation<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_170' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_170_1_container' >\n                                        <input type='text' name='input_170.1' id='input_67_170_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_170_1' id='input_67_170_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Reconciliation<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_170_3_container' >\n                                    <input type='text' name='input_170.3' id='input_67_170_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_170_3' id='input_67_170_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_170_4_container' >\n                                        <select name='input_170.4' id='input_67_170_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_170_4' id='input_67_170_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_170.6' id='input_67_170_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_171\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_171\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of 1st Eucharist<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_171' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_171_1_container' >\n                                        <input type='text' name='input_171.1' id='input_67_171_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_171_1' id='input_67_171_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Eucharist<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_171_3_container' >\n                                    <input type='text' name='input_171.3' id='input_67_171_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_171_3' id='input_67_171_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_171_4_container' >\n                                        <select name='input_171.4' id='input_67_171_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_171_4' id='input_67_171_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_171.6' id='input_67_171_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_172\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_172\"><label class='gfield_label gform-field-label' for='input_67_172' >Child&#039;s personal history<\/label><div class='gfield_description' id='gfield_description_67_172'>List any personal history that we should be sensitive to physical, emotional or learning disabilities.  (We keep this information in strict confidence.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_172' id='input_67_172' class='textarea medium'  aria-describedby=\"gfield_description_67_172\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_67_173\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_173\"><label class='gfield_label gform-field-label'  >Fifth Child<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_173'>\n\t\t\t<li class='gchoice gchoice_67_173_0'>\n\t\t\t\t<input name='input_173' type='radio' value='Yes'  id='choice_67_173_0'    \/>\n\t\t\t\t<label for='choice_67_173_0' id='label_67_173_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_173_1'>\n\t\t\t\t<input name='input_173' type='radio' value='No' checked='checked' id='choice_67_173_1'    \/>\n\t\t\t\t<label for='choice_67_173_1' id='label_67_173_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_162\"  class=\"gfield gfield--type-section gsection gf_middle_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_162\"><h2 class=\"gsection_title\">Fifth Child<\/h2><\/li><li id=\"field_67_174\"  class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_174\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >5th Child<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_67_174'>\n                            \n                            <span id='input_67_174_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_174.3' id='input_67_174_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_174_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            <span id='input_67_174_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_174.4' id='input_67_174_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_174_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_67_174_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_174.6' id='input_67_174_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_67_174_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_67_175\"  class=\"gfield gfield--type-radio gfield--type-choice gf_left_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_175\"><label class='gfield_label gform-field-label'  >Gender<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_175'>\n\t\t\t<li class='gchoice gchoice_67_175_0'>\n\t\t\t\t<input name='input_175' type='radio' value='Male'  id='choice_67_175_0'    \/>\n\t\t\t\t<label for='choice_67_175_0' id='label_67_175_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_175_1'>\n\t\t\t\t<input name='input_175' type='radio' value='Female'  id='choice_67_175_1'    \/>\n\t\t\t\t<label for='choice_67_175_1' id='label_67_175_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_176\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_middle_third field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_176\"><label class='gfield_label gform-field-label' for='input_67_176' >Birth Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_176' id='input_67_176' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_67_176_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_67_176_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_67_176' class='gform_hidden' value='https:\/\/stmatthias-milw.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_67_204\"  class=\"gfield gfield--type-select gf_right_third field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_204\"><label class='gfield_label gform-field-label' for='input_67_204' >Grade<\/label><div class='ginput_container ginput_container_select'><select name='input_204' id='input_67_204' class='medium gfield_select'  aria-describedby=\"gfield_description_67_204\"   aria-invalid=\"false\" ><option value='Select a Grade ...' >Select a Grade &#8230;<\/option><option value='K 4' >K 4<\/option><option value='K 5' >K 5<\/option><option value='1st Grade' >1st Grade<\/option><option value='2nd Grade' >2nd Grade<\/option><option value='3rd Grade' >3rd Grade<\/option><option value='4th Grade' >4th Grade<\/option><option value='5th Grade' >5th Grade<\/option><option value='6th Grade' >6th Grade<\/option><option value='7th Grade' >7th Grade<\/option><option value='8th Grade' >8th Grade<\/option><option value='9th Grade' >9th Grade<\/option><option value='10th Grade' >10th Grade<\/option><option value='11th Grade' >11th Grade<\/option><option value='12th Grade' >12th Grade<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_67_204'>Grade in the fall of this year<\/div><\/li><li id=\"field_67_177\"  class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_177\"><label class='gfield_label gform-field-label' for='input_67_177' >School<\/label><div class='ginput_container ginput_container_text'><input name='input_177' id='input_67_177' type='text' value='' class='large'  aria-describedby=\"gfield_description_67_177\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_67_177'>Name of the school<\/div><\/li><li id=\"field_67_178\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_178\"><label class='gfield_label gform-field-label'  >Have there been any gaps where your child has not received Christian Formation?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_178'>\n\t\t\t<li class='gchoice gchoice_67_178_0'>\n\t\t\t\t<input name='input_178' type='radio' value='Yes'  id='choice_67_178_0'    \/>\n\t\t\t\t<label for='choice_67_178_0' id='label_67_178_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_178_1'>\n\t\t\t\t<input name='input_178' type='radio' value='No' checked='checked' id='choice_67_178_1'    \/>\n\t\t\t\t<label for='choice_67_178_1' id='label_67_178_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_179\"  class=\"gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_179\"><label class='gfield_label gform-field-label' for='input_67_179' >What grade periods did they miss Christian Formation?<\/label><div class='ginput_container ginput_container_text'><input name='input_179' id='input_67_179' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_67_180\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_180\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Baptism<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_180' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_180_1_container' >\n                                        <input type='text' name='input_180.1' id='input_67_180_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_180_1' id='input_67_180_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Baptism<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_180_3_container' >\n                                    <input type='text' name='input_180.3' id='input_67_180_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_180_3' id='input_67_180_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_180_4_container' >\n                                        <select name='input_180.4' id='input_67_180_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_180_4' id='input_67_180_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_180.6' id='input_67_180_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_181\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_181\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of Reconciliation<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_181' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_181_1_container' >\n                                        <input type='text' name='input_181.1' id='input_67_181_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_181_1' id='input_67_181_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Reconciliation<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_181_3_container' >\n                                    <input type='text' name='input_181.3' id='input_67_181_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_181_3' id='input_67_181_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_181_4_container' >\n                                        <select name='input_181.4' id='input_67_181_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_181_4' id='input_67_181_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_181.6' id='input_67_181_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_182\"  class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_182\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Church of 1st Eucharist<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state ginput_container_address gform-grid-row' id='input_67_182' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_67_182_1_container' >\n                                        <input type='text' name='input_182.1' id='input_67_182_1' value=''    aria-required='false'    \/>\n                                        <label for='input_67_182_1' id='input_67_182_1_label' class='gform-field-label gform-field-label--type-sub '>Church of Eucharist<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_67_182_3_container' >\n                                    <input type='text' name='input_182.3' id='input_67_182_3' value=''    aria-required='false'    \/>\n                                    <label for='input_67_182_3' id='input_67_182_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_67_182_4_container' >\n                                        <select name='input_182.4' id='input_67_182_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' selected='selected'>Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_67_182_4' id='input_67_182_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_182.6' id='input_67_182_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_67_183\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_183\"><label class='gfield_label gform-field-label' for='input_67_183' >Child&#039;s personal history<\/label><div class='gfield_description' id='gfield_description_67_183'>List any personal history that we should be sensitive to physical, emotional or learning disabilities.  (We keep this information in strict confidence.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_183' id='input_67_183' class='textarea medium'  aria-describedby=\"gfield_description_67_183\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_67_137\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_137\"><h2 class=\"gsection_title\">Fee Agreement<\/h2><\/li><li id=\"field_67_211\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_211\"><label class='gfield_label gform-field-label'  >Number of Children<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_67_211'>$125\/child &#8211; Max amount for any family is $250. This does not include fees for Confirmation retreat or 1st Reconciliation\/1st Communion.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_211'>\n\t\t\t<li class='gchoice gchoice_67_211_0'>\n\t\t\t\t<input name='input_211' type='radio' value='1 Child - $125'  id='choice_67_211_0'    \/>\n\t\t\t\t<label for='choice_67_211_0' id='label_67_211_0' class='gform-field-label gform-field-label--type-inline'>1 Child &#8211; $125<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_211_1'>\n\t\t\t\t<input name='input_211' type='radio' value='2 Children - $250'  id='choice_67_211_1'    \/>\n\t\t\t\t<label for='choice_67_211_1' id='label_67_211_1' class='gform-field-label gform-field-label--type-inline'>2 Children &#8211; $250<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_211_2'>\n\t\t\t\t<input name='input_211' type='radio' value='3 Children - $250'  id='choice_67_211_2'    \/>\n\t\t\t\t<label for='choice_67_211_2' id='label_67_211_2' class='gform-field-label gform-field-label--type-inline'>3 Children &#8211; $250<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_211_3'>\n\t\t\t\t<input name='input_211' type='radio' value='4 Children - $250'  id='choice_67_211_3'    \/>\n\t\t\t\t<label for='choice_67_211_3' id='label_67_211_3' class='gform-field-label gform-field-label--type-inline'>4 Children &#8211; $250<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_211_4'>\n\t\t\t\t<input name='input_211' type='radio' value='5 Children - $250'  id='choice_67_211_4'    \/>\n\t\t\t\t<label for='choice_67_211_4' id='label_67_211_4' class='gform-field-label gform-field-label--type-inline'>5 Children &#8211; $250<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_191\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_191\"><style>\ntable, th, td {\n    border: 5px solid red;\n}\n<\/style>\n<table  style=\"width:100%\"><tr><td >\n<b>Please note:  NO family or child will be turned away because of their financial situation.<\/b>\n\n<p>The Parish helps cut the cost of the program through envelope contributions.  The program fees help to cover the remaining costs.<\/p>\n\n<p><i>If you are unable to pay the above amount, please contact \nBrian Jens at 414-982-2406, or <a href=\"mailto:bjens@StMatthias-Milw.org?Subject=Request for St. Matthias Endowment Funds\" target=\"_top\">bjens@StMatthias-Milw.org<\/a>\nor Peter Morello at (414) 982-2413 <a href=\"mailto:pmorello@stmatthias-milw.org?Subject=Request for St. Matthias Endowment Funds\" target=\"_top\">pmorello@stmatthias-milw.org<\/a>\nto request an application for the St. Matthias Endowment Fund.<\/i><\/p>\n<\/td><\/tr><\/table><\/li><li id=\"field_67_192\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_192\"><label class='gfield_label gform-field-label'  >Options for Program fee Payment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_67_192'>\n\t\t\t<li class='gchoice gchoice_67_192_0'>\n\t\t\t\t<input name='input_192' type='radio' value='Program fees paid in full by Orientation (September 17th, 2023)'  id='choice_67_192_0'    \/>\n\t\t\t\t<label for='choice_67_192_0' id='label_67_192_0' class='gform-field-label gform-field-label--type-inline'>Program fees paid in full by Orientation (September 17th, 2023)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_192_1'>\n\t\t\t\t<input name='input_192' type='radio' value='Program fees paid in two (2) installments- 50% payment by Orientation (September 17th, 2023) and 50% payment by January 2024'  id='choice_67_192_1'    \/>\n\t\t\t\t<label for='choice_67_192_1' id='label_67_192_1' class='gform-field-label gform-field-label--type-inline'>Program fees paid in two (2) installments- 50% payment by Orientation (September 17th, 2023) and 50% payment by January 2024<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_67_192_2'>\n\t\t\t\t<input name='input_192' type='radio' value='Program fees paid in four (4) installments \u2013 with the first 25% payment by Orientation (September 17th, 2023) and each additional 25% payment due by December 2023, February 2024, and April 2024'  id='choice_67_192_2'    \/>\n\t\t\t\t<label for='choice_67_192_2' id='label_67_192_2' class='gform-field-label gform-field-label--type-inline'>Program fees paid in four (4) installments \u2013 with the first 25% payment by Orientation (September 17th, 2023) and each additional 25% payment due by December 2023, February 2024, and April 2024<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_67_193\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_67_193\"><p><strong>Sunday Morning Program (K4-8th) &#038; High School Christian Formation (9-11th)<\/strong><br>Program fees can be paid by cash, check, or credit\/debit card:<br> (Please visit the link below to make a payment now)\n<\/p>\n<a href=\" https:\/\/stmatthias-milw.weshareonline.org\/ws\/opportunities\/ChristianFormationPayment \" target=\"_blank\">\n<img decoding=\"async\" src=\"https:\/\/stmatthias-milw.org\/wp-content\/uploads\/CF_HighSchool.jpg\" style=\"max-width:100%;\" \/><\/a>\n<\/li><li id=\"field_67_195\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_67_195\"><label class='gfield_label gform-field-label' for='input_67_195' >Signature of Parent\/Guardian<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_195' id='input_67_195' type='text' value='' class='medium'  aria-describedby=\"gfield_description_67_195\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_67_195'>By typing your full name in this box, you are signing this document.  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