Walking With Purpose Registration
WWP 2022-2023
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Name *
Email address *
Street Address *
City, State, Zip *
Home Phone *
Mobile Phone *
Emergency Contact Name *
Emergency Contact Phone Number *
Birthday (Month/Day)
Parish
Course *
Seating Request (1 or 2 friends)
Scholarship Information
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If offering a scholarship donation, please note amount below:
OYP/RF $40 (Virtual $20), KIB (night $20), RF ($20).   Please make checks payable to St. Pius X Church.  Please hand in payment at first meeting or mail check to church office, noting WWP in memo area.  Address is: 834 Brookside Drive Fairfield, CT 06824.  Please order the respective study guides from the WWP website:  https://shop.walkingwithpurpose.com/collections/study-guides
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If paying by check, please list check number below:
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