| Ss. Robert & William Catholic Parish

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.

Cell Phone REQUIRED Please fill out this field. Please enter a phone number.

Best way to contact you? REQUIRED Email Text Phone Call All of the above Please fill out this field.

Social Media Preference REQUIRED Facebook Instagram Both None Please fill out this field.

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.

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Home Parish Please enter valid data.

Home Parish City Please enter valid data.

Where did you hear about Walking with Purpose?

Choose a Session please, with the following options: REQUIRED Please fill out this field.

Birthdate REQUIRED

(mm/dd/yr) to help place you in a small group

Please fill out this field. Please enter a date.

Our WWP program is run by volunteers and we could use your help!

I would like to help with: Administration Hospitality Music Promotion / Evangelization / Outreach Parish Liaison (we'd love one liaison per parish registered) Small Group Leader

If you have any special requests or have anything else you would like us to know, please let us know:

Registration Fee25.0

Ss. Robert & William Catholic Parish

367 E. 260th St., Euclid, Oh. 44132 | 216.731.1515

Walking With Purpose Registration