Facebook Flocknote

Class Registration Form

- Classes are held on the 2nd Monday of every month at the Pastoral Center at 6:30pm. There is a $5 Baptism Class Fee per person. Payment is due before attending the class. *Space is limited due to room availability*
- Baptism Class Fee
  
  $5.00
  Pay now
- The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Are you the parent of the child or godparent REQUIRED Parent Godparent Christian Witness (for non-Catholic's only) Please fill out this field.
  
  What is the name of the person you are taking this class for: REQUIRED Please fill out this field. Please enter valid data.
  
  Will the Baptism be taking place at Our Lady of Perpetual Help Church REQUIRED Yes No Please fill out this field.
  
  If the Baptism will not take place here, at Our Lady of Perpetual Help Church, please indicate the name of the church and the city where it will take place. Upon completion of the class, a letter will be sent to the church you indicate advising them of your attendance.
  
  Name of Church where Baptism will take place Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Class you would like to register: REQUIRED Monday, November 11, 2024 Monday, December 9, 2024 Please fill out this field.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.