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Class Registration Form

- Classes are held on the 2nd Monday of every month at the Pastoral Center at 6:30pm. *Space is limited due to room availability*
- 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.
  
  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 6/12/23 7/10/23 Please fill out this field.
  
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