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WWP Fall 2024-Spring2025 Registration Form
Participant's Name
*
First Name
Last Name
Email
*
Verify Email
*
Cell Phone #
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Emergency Contact Phone Number
Select your age range
*
18-29
30-39
40-49
50-59
60+
Do you need childcare?
*
Yes
No
Please, enter name and age of each child
Course Registration
*
$60
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Keeping in Balance, Thursdays, 9:00am-10:30am in Community Center
$35
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Beholding His Glory, Wednesdays, 6:45pm-8:30pm in Community Center
Donations-to contribute to the St Cecilia Walking with Purpose ministry
Donation
*
Would you like to give an optional donation to cover other costs of offering the program at St. Cecilia
select one
Yes, I would like donate!
No thank you, not at this time.
Donation Amount
$
Scholarship Donation
*
If you would like to sponsor someone to attend our bible study, please make a donation below.
select one
Yes, I would like donate!
No thank you, not at this time.
Scholarship Amount
$
Add 3% to my total amount to help cover the payment processing fees