St. Jane Frances de Chantal
Catholic Church
(Pastorate parish with OLC)

8499 Virginia Ave.
Riviera Beach, Maryland 21122

www.stjane.org

www.stjane.org

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OLC/SJF
WWP: Discovering our Dignity

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Thank you for registering for Walking with Purpose. Small group leaders will be in touch as the program approaches.
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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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Home Address: REQUIRED Please fill out this field.
- Where is your home parish? REQUIRED Please fill out this field. Please enter valid data.
- What is your age group? (for small group information) REQUIRED Please fill out this field.
- Which session would you like to register for? REQUIRED Please fill out this field.
- BOOK & REGISTRATION INFORMATION
  
  $50 goes towards the cost of the book and small supply fee. You may pay by credit card via the registration website or send a check to St. Jane's. This year books will be ordered and shipped to the parish and be given to you at the 1st meeting.
- SCHOLARSHIP INFORMATION
- (optional) I would like to donate money towards the scholarship fund. Please fill in the amount you would like to donate to help others financially. $ Please enter a positive decimal.
- I would like to be considered for the scholarship fund. The amount below is the financial aide that I would like to be considered for: Please enter valid data.
- If you have any questions concerning scholarships, please contact Melissa Boyle at [email protected]/410-255-4646.
  
  If you would like to register by check and mail it in, fill out the first page of this registration and then press “proceed to payment”. If you are paying by check, you do not need to fill out the credit card information page.
- How many people are you registering? REQUIRED Please fill out this field.
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OLC/SJFWWP: Discovering our Dignity

OLC/SJF
WWP: Discovering our Dignity