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Pre-Baptismal Class

Please complete the registration form below to sign up for a Pre-Baptismal class.
One form per person attending class. PLEASE DO NOT BRING CHILDREN
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. 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.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Name of child being baptized? Please enter valid data.
- Relation to child REQUIRED Please fill out this field.
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St. therese of the
Little Flower Catholic Church