Walking with Purpose Registration Form 2021-2022 Name* First Last Email address* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone*Cell Phone**Ok to send text messages?* Yes No Which session would you like to register for?*Discovering Our Dignity (Wed 9:45-11:15 am)Keeping in Balance (Mon 6:00-7:30 pm)Once this form is submitted, you will receive a confirmation email with a link to purchase the Study Guide from Walking With Purpose. Please order promptly as it can take 7-10 days to receive your materials. Please tell us your home parish.* Emergency Contact* First Name Last Name Emergency Contact Phone*$10 Registration Fee A link to pay registration will be provided in your confirmation email. Or you may visit www.stlouischurchmphs.org and click Online Giving. Scroll down to "other" and submit your one time payment of $10 to "Walking With Purpose Book Study".