Diocese of Sioux City

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Pearl & Thistle Cycle Prep

Cycle Prep through Pearl & Thistle is a first period course that prepares both daughters and their mother for the start of menstrual cycles with science, values and the dignity of women in mind. This course is for 9-11 year old girls and their mothers/parents.

We are offering four different classes at four different locations, click a location NEAR YOU!

Registration

Qty

Description

Amount

Total

Payment Daughter 1

$25.00

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Additional Daughters

$25.00

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Total: $0.00

Prep Cycle Location

Cycle Prep Location

Mother's and Daughter's Attending

Daughter's Name *

Age *

Grade *

Parish *

Daughter 2

Age

Grade

Daughter 3

Age

Grade

Mother/ Guardian's First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt will be e-mailed to this address.

Comments:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *