Saint Elizabeth Parish

Chester Springs, PA

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Pre-Jordan Program Registration

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  Class Date Requested: REQUIRED Saturday, November 9, 2024, 10:30 AM Saturday, January 11, 2025, 10:30 AM Saturday, March 8, 2025, 10:30 AM Please fill out this field.
  
  Father's First & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's First & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child to be Baptized REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Do you need childcare? REQUIRED Yes No Please fill out this field.
  
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