St. Patrick Church

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STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for registering for our evangelization courses. By clicking submit you certify that all information provided is true and you agree to follow St. Patrick's guidelines, code of conduct, dress code and all other rules for religious education.

Program

Please select only 1 program per child

Qty

Description

Amount

Total

Beginner's Bible Timeline (1-2 Grade)

$50.00

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Intermediate Bible Timeline (4-5 Grade)

$50.00

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Advanced Bible Timeline (Middle School)

$50.00

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High School Bible Timeline

$30.00

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Catholic Social Teaching (High School)

$30.00

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Theology of the Body for Middle School

$30.00

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Theology of the Body for High School

$30.00

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Princess Club (Girls 4-8 years old)

$15.00

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Talitha Koum - Quinceañera Retreat

$30.00

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Total: $0.00

Student Name: *

Program registered for: *

Date of Birth: *

Age: *

School Attending: *

Payment Information

First Name: *

Last Name: *

Billing Address: *

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Email: *

A receipt will be e-mailed to this address.

Telephone:

Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *