Baptism Prep Registration

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Choose Your Date REQUIRED Saturday, December 21, 2019 9:00AM - 12PM, Burke Wing Saturday, January 18, 2020 9:00AM - 12PM, Burke Wing Saturday, February 15, 2020 9:00AM - 12PM, Burke Wing Saturday, March 21, 2020 9:00AM - 12PM, Burke Wing Saturday, April 18, 2020 9:00AM - 12PM, Burke Wing Saturday, May 16, 2020 9:00AM - 12PM, Burke Wing Saturday, June 20, 2020 9:00AM - 12PM, Burke Wing Saturday, July 18, 2020 9:00AM - 12PM, Burke Wing Please fill out this field.
Parent's Name (First Last) REQUIRED Please fill out this field. Please enter valid data.
2nd Parent's name (First Last) Please enter valid data.
Name of Child (First Middle Last) REQUIRED Please fill out this field. Please enter valid data.
Date of Birth or Due Date REQUIRED Please fill out this field. Please enter a date.
Street Address 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.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Type of phone REQUIRED Personal landline Business landline Personal Cellphone Business cellphone Please fill out this field.

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Choose Your Date!

Ascension Catholic Church 4603 Poplar Avenue Halethorpe, MD 21227 410-242-2292 Fax 410-242-6807	St Augustine Church 5976 Old Washington Road Elkridge, MD 21075 410-796-1520 Fax 410-796-8172