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CDS Picnic Registration

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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.
  
  Spouse First and Last Name Please enter valid data.
  
  Any Other Adult Member Joining, First and Last Name Please enter valid data.
  
  Children REQUIRED
  Please enter the number of Children in your household
  Please fill out this field.
  
  Child 1
  
  Age of Each Child Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Child 2
  
  Age of Each Child Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Child 3
  
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  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Child 4
  
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  Child 5
  
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  Child 6
  
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  Last Name Please enter valid data.
  
  Child 7
  
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  Last Name Please enter valid data.
  
  Child 8
  
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  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Child 9
  
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  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Child 10
  
  Age of Each Child Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gift $ Please enter a positive decimal.
  
  We appreciate any donations, thank you!
  
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CHRIST THE DIVINE SHEPHERD PARISH

Monroeville/ Penn Hills/ Pitcairn

CDS Picnic Registration