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On-Line Payments & Registration Fees
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number xxx-xxx-xxxx
*
Email Address
Re-enter Email Address
Faith Formation Fees
Family/Student's Name
Faith Formation Payment Amount
Payment Purpose (check all that apply)
Prek-1st Grade Family Faith Formation $75.00
1st-5th Grade Adult/Child Advent Retreat $15.00
1st-5th Grade Adult/Child Lenten Retreat $15.00
Wednesday Release (3:55-4:55 PM) Bus Fee $35.00
Middle School Retreat Gr 6 thru 8 $30.00
Grade 9 - Confirmation I Retreat $40.00
Grade 10 Confirmation II Retreat Fee $120.00
Faith Formation Registration Fee Payment
Balance of Fees due
Other
Other
Other Fees Paid
Amount Paid
Payment Purpose
Cemetery
Wedding
Baptism
Funeral
Describe Other Purpose
Total Fees Paid
Current Total:
$0.00
Calculate
All refunds will be made by check. Please allow 14-21 days.
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