Natural Family Planning Class Online Registration
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1st Choice Group #*	Please Choose Group # NFP 3300 Group # NFP 3301 Group # NFP 3302 Group # NFP 3303 Group # NFP 3304 Group # NFP 3305 Group # NFP 3306     More Group Info.
2nd Choice Group #*	Please Choose Group # NFP 3300 Group # NFP 3301 Group # NFP 3302 Group # NFP 3303 Group # NFP 3304 Group # NFP 3305 Group # NFP 3306     More Group Info.
Female
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State*	Please Choose Alabama Alaska Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming None of the Above
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Religion*
Parish*	Please Choose All Saints, Philadelphia, PA 19137 Annunciation B.V.M., Philadelphia, PA 19147 Annunciation B.V.M., Havertown, PA 19083 Ascension of Our Lord, Philadelphia, PA 19134 Assumption B.V.M., Feasterville, PA 19053 Assumption B.V.M., West Grove, PA 19390 Blessed Teresa of Calcutta, Linfield, PA 19468 Blessed Virgin Mary, Darby, PA 19023 Cathedral of SS. Peter & Paul, Philadelphia, PA 19103 Christ the King, Philadelphia, PA 19114 Corpus Christi, Lansdale, PA 19446 Divine Mercy Parish, Philadelphia, PA 19142 Epiphany of Our Lord, Plymouth Meeting, PA 19462 Epiphany of Our Lord, Philadelphia, PA 19148 Holy Angels, Philadelphia, PA 19126 Holy Cross, Springfield, PA 19064 Holy Cross, Philadelphia, PA 19119 Holy Family, Philadelphia, PA 19127 Holy Innocents, Philadelphia, PA 19124 Holy Martyrs, Oreland, PA 19075 Holy Name of Jesus, Philadelphia, PA 19125 Holy Saviour, Linwood, PA 19061 Holy Saviour, Norristown, PA 19401 Holy Spirit, Philadelphia, Pa 19145 Holy Spirit, Sharon Hill, PA 19079 Holy Trinity, Morrisville, PA 19067 Holy Trinity, Phoenixville, PA 19460 Immaculate Conception, Marcus Hook, PA 19061 Immaculate Conception, Levittown, PA 19057 Immaculate Conception, Jenkintown, PA 19046 Immaculate Conception, Philadelphia, PA 19123 Immaculate Conception, Philadelphia, PA 19138 Immaculate Heart of Mary, Philadelphia, PA 19128 Incarnation of Our Lord, Philadelphia, PA 19120 Mary, Mother of the Redeemer, North Wales, PA 19454 Mater Dolorosa, Philadelphia, PA 19124-4641 Maternity B.V.M, Philadelphia, PA 19115 Mission Santa Maria Madre de Dios Mother of Divine Grace, Philadelphia, PA 19134 Mother of Divine Providence, King of Prussia, PA 19406 Nativity B.V.M., Media, PA 19063 Nativity B.V.M., Philadelphia, PA 19134 Nativity of Our Lord, Warminster, PA 18974 Notre Dame de Lourdes, Swarthmore, PA 19081 Old Saint Mary`s, Philadelphia, PA 19106 Old St. Joseph`s, Philadelphia, PA 19106 Our Lady Help of Christians, Philadelphia, PA 19134 Our Lady Help of Christians, Abington, PA 19001 Our Lady of Calvary, Philadelphia, PA 19154 Our Lady of Charity, Brookhaven, PA 19015 Our Lady of Consolation, Parkesburg, PA 19365 Our Lady of Consolation, Philadelphia, PA 19135 Our Lady of Fatima, Bensalem, PA 19020 Our Lady of Fatima, Secane, PA 19018 Our Lady of Good Counsel, Southampton, PA 18966 Our Lady of Grace, Penndel, PA 19047 Our Lady of Guadalupe, Buckingham, PA 18912 Our Lady of Hope, Philadelphia, PA 19141-1628 Our Lady of Lourdes, Philadelphia, PA 19151 Our Lady of Mount Carmel, Philadelphia, PA 19148 Our Lady of Mount Carmel, Doylestown, PA 18901 Our Lady of Mount Carmel, Bridgeport, PA 19405 Our Lady of Peace, Milmont Park, PA 19033 Our Lady of Perpetual Help, Morton, PA 19070 Our Lady of Ransom, Philadelphia, PA 19149 Our Lady of the Assumption, Strafford, PA 19087 Our Lady of the Blessed Sacrament, Philadelphia, PA 19139 Our Lady of the Rosary, Coatesville, PA 19320 Our Lady of the Sacred Heart, Hilltown, PA 18927 Our Mother of Consolation, Philadelphia, PA 19118 Our Mother of Good Counsel, Bryn Mawr, PA 19010 Our Mother of Sorrows, Philadelphia, PA 19131 Presentation B.V.M., Cheltenham, PA 19012 Presentation B.V.M., Wynnewood, PA 19096 Queen of Peace, Ardsley, PA 19038 Queen of the Universe, Levittown, PA 19056 Resurrection of Our Lord, Philadelphia, PA 19152 Sacred Heart, Royersford, PA 19468 Sacred Heart, Phoenixville, PA 19460 Sacred Heart, Oxford, PA 19363 Sacred Heart, Havertown, PA 19083 Sacred Heart, Clifton Heights, PA 19018 Sacred Heart, Bridgeport, PA 19405 Sacred Heart of Jesus, Philadelphia, PA 19147 Saint Aloysius, Pottstown, PA 19464 Saint Andrew, Philadelphia, PA 19130 Saint Basil the Great, Kimberton, PA 19442-0637 Saint Casimir, Philadelphia, PA 19147 Saint Colman, Ardmore, PA 19003 Saint Eugene, Primos, PA 19018 Saint Frances Cabrini, Fairless Hills, PA 19030 Saint Francis of Assisi, Norristown, PA 19401 Saint Francis of Assisi, Springfield, PA 19064 Saint Gabriel of the Sorrowful Mother, Avondale, PA 19311 Saint George, Glenolden, PA 19036 Saint Isidore, Quakertown, PA 18951 Saint John Neumann, Bryn Mawr, PA 19010 Saint Joseph, Downingtown, PA 19335 Saint Margaret Mary Alacoque, Essington, PA 19029 Saint Mary, Conshohocken, PA 19428 Saint Monica, Berwyn, PA 19312 Saint Nicholas of Tolentine, Philadelphia, PA 19148 Saint Patrick, Norristown, PA 19401 Saint Peter the Apostle, Philadelphia, PA 19123 Saint Rita of Cascia, Philadelphia, PA 19146 Saint Thomas More, Pottstown, PA 19465 Saint Veronica, Philadelphia, PA 19140 SS. Cosmas and Damian, Conshohocken, PA 19428 SS. Peter and Paul, West Chester, PA 19380 SS. Philip and James, Exton, PA 19341 SS. Simon and Jude, West Chester, PA 19382 St. Adalbert, Philadelphia, PA 19134 St. Agatha-St. James, Philadelphia, PA 19104 St. Agnes, Sellersville, PA 18960 St. Agnes, West Chester, PA 19380 St. Agnes-St. John Nepomucene, Philadelphia, PA 19123 St. Albert the Great, Huntingdon Valley, PA 19006 St. Alice, Upper Darby, PA 19082 St. Alphonsus, Maple Glen, PA 19002 St. Ambrose, Philadelphia, PA 19120 St. Anastasia, Newtown Square, PA 19073 St. Andrew, Drexel Hill, PA 19026 St. Andrew, Newtown, PA 18940 St. Ann, Phoenixville, PA 19460 St. Ann, Bristol, PA 19007 St. Anne, Philadelphia, PA 19125 St. Anselm, Philadelphia, PA 19154 St. Anthony of Padua, Ambler, PA 19002 St. Athanasius, Philadelphia, PA 19138 St. Augustine, Bridgeport, PA 19405 St. Augustine, Philadelphia, PA 19106 St. Barbara, Philadelphia, PA 19131 St. Barnabas, Philadelphia, PA 19142 St. Bartholomew, Philadelphia, PA 19124 St. Bede the Venerable, Holland, PA 18966 St. Benedict, Philadelphia, PA 19138 St. Bernadette, Drexel Hill, PA 19026 St. Bernard, Philadelphia, PA 19136 St. Bridget, Philadelphia, PA 19129 St. Callistus, Philadelphia, PA 19151 St. Catherine of Siena, Horsham, PA 19044 St. Cecilia, Coatesville, PA 19320 St. Cecilia Rectory, Philadelphia, PA 19111 St. Charles Borromeo, Philadelphia, PA 19146 St. Charles Borromeo, Bensalem, PA 19020 St. Charles Borromeo, Drexel Hill, PA 19026 St. Christopher, Philadelphia, PA 19116 St. Cornelius, Chadds Ford, PA 19317 St. Cyprian Parish, Philadelphia, PA 19143 St. Cyril of Alexandria, East Lansdowne, PA 19050 St. Cyril of Jerusalem, Jamison, PA 18929 St. David Rectory, Willow Grove, PA 19090 St. Denis, Havertown, PA 19083 St. Dominic, Philadelphia, PA 19136 St. Donato, Philadelphia, PA 19151 St. Dorothy, Drexel Hill, PA 19026 St. Edmond, Philadelphia, PA 19145 St. Eleanor, Collegeville, PA 19426 St. Elizabeth, Uwchlan, PA 19480-0695 St. Elizabeth Ann Seton, Bensalem, PA 19020 St. Ephrem, Bensalem, PA 19020 St. Francis de Sales, Philadelphia, PA 19143 St. Francis de Sales, Lenni, PA 19052 St. Francis of Assisi, Philadelphia, PA 19144 St. Francis Xavier, Philadelphia, PA 19130 St. Gabriel, Stowe, PA 19464 St. Gabriel, Norwood, PA 19074 St. Gabriel, Philadelphia, PA 19146 St. Genevieve, Flourtown, PA 19031 St. George, Philadelphia, PA 19134 St. Gertrude, West Conshohocken, PA 19428 St. Helena, Blue Bell, PA 19422 St. Helena, Philadelphia, PA 19120 St. Hilary of Poitiers, Rydal, PA 19046 St. Hugh of Cluny, Philadelphia, PA 19140 St. Ignatius of Antioch, Yardley, PA 19067 St. Ignatius of Loyola, Philadelphia, PA 19104 St. Isaac Jogues, Wayne, PA 19087 St. James, Elkins Park, PA 19027 St. Jerome, Philadelphia, PA 19136 St. Joachim, Philadelphia, PA 19124 St. Joan of Arc, Philadelphia, PA 19134 St. John Baptist Vianney, Gladwyne, PA 19035 St. John Bosco, Hatboro, PA 19040 St. John Cantius, Philadelphia, PA 19137 St. John Chrysostom, Wallingford, PA 19086 St. John Fisher, Boothwyn, PA 19061 St. John of the Cross, Roslyn, PA 19001 St. John the Baptist, Ottsville, PA 18942 St. John the Baptist, Philadelphia, PA 19127 St. John the Evangelist, Philadelphia, PA 19107 St. John the Evangelist, Morrisville, PA 19067 St. Josaphat, Philadelphia, PA 19127 St. Joseph, Coatesville, PA 19320 St. Joseph, Aston, PA 19014 St. Joseph, Cheltenham, PA 19012 St. Joseph, Warrington, PA 18976 St. Joseph, Spring City, PA 19475 St. Joseph, Ambler, PA 19002 St. Joseph Rectory, Collingdale, PA 19023 St. Joseph the Worker, Fallsington, PA 19054 St. Jude Parish, Chalfont, PA 18914 St. Katharine Drexel, Chester, PA 19013 St. Katharine of Siena, Wayne, PA 19087 St. Katherine of Siena, Philadelphia, PA 19114 St. Kevin, Springfield, PA 19064 St. Laurence Rectory, Upper Darby, PA 19082 St. Laurentius, Philadelphia, PA 19125 St. Lawrence, Riegelsville, PA 18077 St. Leo, Philadelphia, PA 19135 St. Louis, Yeadon, PA 19050 St. Lucy, Philadelphia, PA 19127 St. Luke the Evangelist, Glenside, PA 19038 St. Madeleine Sophie, Philadelphia, PA 19119 St. Madeline, Ridley Park, PA 19078 St. Malachy, Philadelphia, PA 19122 St. Margaret, Narberth, PA 19072 St. Maria Goretti, Hatfield, PA 19440 St. Mark, Bristol, PA 19007 St. Martha, Philadelphia, PA 19154 St. Martin de Porres, Philadelphia, PA 19132 St. Martin of Tours, Philadelphia, PA 19124 St. Martin Parish, New Hope, PA 18938 St. Mary, Schwenksville, PA 19473 St. Mary Magdalen, Media, PA 19063 St. Mary of the Assumption, Philadelphia, PA 19127 St. Mary of the Assumption, Phoenixville, PA 19460 St. Matthew, Conshohocken, PA 19428 St. Matthew, Philadelphia, PA 19149 St. Matthias, Bala Cynwyd, PA 19004 St. Maximilian Kolbe, West Chester, PA 19382 St. Michael, Philadelphia, PA 19122 St. Michael the Archangel, Levittown, PA 19054 St. Monica, Philadelphia, PA 19145 St. Norbert Parish, Paoli, PA 19301 St. Patrick, Philadelphia, PA 19103 St. Patrick, Kennett Square, PA 19348 St. Patrick, Malvern, PA 19355 St. Paul, Norristown, PA 19401 St. Paul, Philadelphia, PA 19147 St. Peter, Honey Brook, PA 19344 St. Philip Neri, Lafayette Hill, PA 19444 St. Philip Neri, Philadelphia, PA 19147 St. Philip Neri, Pennsburg, PA 18073 St. Philomena, Lansdowne, PA 19050 St. Pius X, Broomall, PA 19008 St. Raymond of Penafort, Philadelphia, PA 19150 St. Richard, Philadelphia, PA 19145 St. Robert Bellarmine, Warrington, PA 18976 St. Rose of Lima, Eddystone, PA 19013 St. Rose of Lima, Philadelphia, PA 19151 St. Rose of Lima, North Wales, PA 19454 St. Stanislaus, Lansdale, PA 19446 St. Stanislaus Kostka, Coatesville, PA 19320 St. Teresa of Avila, Norristown, PA 19403-3659 St. Therese of the Child Jesus, Philadelphia, PA 19119 St. Thomas Aquinas, Croydon, PA 19021-5496 St. Thomas Aquinas, Philadelphia, PA 19145 St. Thomas of Villanova, Rosemont, PA 19010 St. Thomas the Apostle, Glen Mills, PA 19342 St. Timothy, Philadelphia, PA 19149 St. Titus, Norristown, PA 19403 St. Vincent de Paul, Philadelphia, PA 19144 St. Vincent de Paul, Richboro, PA 18954 St. William, Philadelphia, PA 19111 Stella Maris, Philadelphia, PA 19148 Visitation B.V.M., Philadelphia, PA 19125 Visitation B.V.M., Norristown, PA 19403 Other
County*
Age*
Currently Married:	Yes    No
Currently Engaged:	Yes    No
If Yes: Date of Wedding:
Been Taught NFP Before?	Yes    No
If Yes, Method of NFP Taught:
Used NFP Before?	Yes    No
If Yes, Method of NFP:
Are you being required by your parish priest to take this NFP course?        Yes    No
Special Needs for the Program (disability access, etc.)
Male
First name*
Last Name*
Address 1*
Address 2
City*
State*	Please Choose Alabama Alaska Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming None of the Above
Zip*
Email*
Home/Cell Phone*
Phone(Work)
Religion*
Parish*	Please Choose All Saints, Philadelphia, PA 19137 Annunciation B.V.M., Philadelphia, PA 19147 Annunciation B.V.M., Havertown, PA 19083 Ascension of Our Lord, Philadelphia, PA 19134 Assumption B.V.M., Feasterville, PA 19053 Assumption B.V.M., West Grove, PA 19390 Blessed Teresa of Calcutta, Linfield, PA 19468 Blessed Virgin Mary, Darby, PA 19023 Cathedral of SS. Peter & Paul, Philadelphia, PA 19103 Christ the King, Philadelphia, PA 19114 Corpus Christi, Lansdale, PA 19446 Divine Mercy Parish, Philadelphia, PA 19142 Epiphany of Our Lord, Plymouth Meeting, PA 19462 Epiphany of Our Lord, Philadelphia, PA 19148 Holy Angels, Philadelphia, PA 19126 Holy Cross, Springfield, PA 19064 Holy Cross, Philadelphia, PA 19119 Holy Family, Philadelphia, PA 19127 Holy Innocents, Philadelphia, PA 19124 Holy Martyrs, Oreland, PA 19075 Holy Name of Jesus, Philadelphia, PA 19125 Holy Saviour, Linwood, PA 19061 Holy Saviour, Norristown, PA 19401 Holy Spirit, Philadelphia, Pa 19145 Holy Spirit, Sharon Hill, PA 19079 Holy Trinity, Morrisville, PA 19067 Holy Trinity, Phoenixville, PA 19460 Immaculate Conception, Marcus Hook, PA 19061 Immaculate Conception, Levittown, PA 19057 Immaculate Conception, Jenkintown, PA 19046 Immaculate Conception, Philadelphia, PA 19123 Immaculate Conception, Philadelphia, PA 19138 Immaculate Heart of Mary, Philadelphia, PA 19128 Incarnation of Our Lord, Philadelphia, PA 19120 Mary, Mother of the Redeemer, North Wales, PA 19454 Mater Dolorosa, Philadelphia, PA 19124-4641 Maternity B.V.M, Philadelphia, PA 19115 Mission Santa Maria Madre de Dios Mother of Divine Grace, Philadelphia, PA 19134 Mother of Divine Providence, King of Prussia, PA 19406 Nativity B.V.M., Media, PA 19063 Nativity B.V.M., Philadelphia, PA 19134 Nativity of Our Lord, Warminster, PA 18974 Notre Dame de Lourdes, Swarthmore, PA 19081 Old Saint Mary`s, Philadelphia, PA 19106 Old St. Joseph`s, Philadelphia, PA 19106 Our Lady Help of Christians, Philadelphia, PA 19134 Our Lady Help of Christians, Abington, PA 19001 Our Lady of Calvary, Philadelphia, PA 19154 Our Lady of Charity, Brookhaven, PA 19015 Our Lady of Consolation, Parkesburg, PA 19365 Our Lady of Consolation, Philadelphia, PA 19135 Our Lady of Fatima, Bensalem, PA 19020 Our Lady of Fatima, Secane, PA 19018 Our Lady of Good Counsel, Southampton, PA 18966 Our Lady of Grace, Penndel, PA 19047 Our Lady of Guadalupe, Buckingham, PA 18912 Our Lady of Hope, Philadelphia, PA 19141-1628 Our Lady of Lourdes, Philadelphia, PA 19151 Our Lady of Mount Carmel, Philadelphia, PA 19148 Our Lady of Mount Carmel, Doylestown, PA 18901 Our Lady of Mount Carmel, Bridgeport, PA 19405 Our Lady of Peace, Milmont Park, PA 19033 Our Lady of Perpetual Help, Morton, PA 19070 Our Lady of Ransom, Philadelphia, PA 19149 Our Lady of the Assumption, Strafford, PA 19087 Our Lady of the Blessed Sacrament, Philadelphia, PA 19139 Our Lady of the Rosary, Coatesville, PA 19320 Our Lady of the Sacred Heart, Hilltown, PA 18927 Our Mother of Consolation, Philadelphia, PA 19118 Our Mother of Good Counsel, Bryn Mawr, PA 19010 Our Mother of Sorrows, Philadelphia, PA 19131 Presentation B.V.M., Cheltenham, PA 19012 Presentation B.V.M., Wynnewood, PA 19096 Queen of Peace, Ardsley, PA 19038 Queen of the Universe, Levittown, PA 19056 Resurrection of Our Lord, Philadelphia, PA 19152 Sacred Heart, Royersford, PA 19468 Sacred Heart, Phoenixville, PA 19460 Sacred Heart, Oxford, PA 19363 Sacred Heart, Havertown, PA 19083 Sacred Heart, Clifton Heights, PA 19018 Sacred Heart, Bridgeport, PA 19405 Sacred Heart of Jesus, Philadelphia, PA 19147 Saint Aloysius, Pottstown, PA 19464 Saint Andrew, Philadelphia, PA 19130 Saint Basil the Great, Kimberton, PA 19442-0637 Saint Casimir, Philadelphia, PA 19147 Saint Colman, Ardmore, PA 19003 Saint Eugene, Primos, PA 19018 Saint Frances Cabrini, Fairless Hills, PA 19030 Saint Francis of Assisi, Norristown, PA 19401 Saint Francis of Assisi, Springfield, PA 19064 Saint Gabriel of the Sorrowful Mother, Avondale, PA 19311 Saint George, Glenolden, PA 19036 Saint Isidore, Quakertown, PA 18951 Saint John Neumann, Bryn Mawr, PA 19010 Saint Joseph, Downingtown, PA 19335 Saint Margaret Mary Alacoque, Essington, PA 19029 Saint Mary, Conshohocken, PA 19428 Saint Monica, Berwyn, PA 19312 Saint Nicholas of Tolentine, Philadelphia, PA 19148 Saint Patrick, Norristown, PA 19401 Saint Peter the Apostle, Philadelphia, PA 19123 Saint Rita of Cascia, Philadelphia, PA 19146 Saint Thomas More, Pottstown, PA 19465 Saint Veronica, Philadelphia, PA 19140 SS. Cosmas and Damian, Conshohocken, PA 19428 SS. Peter and Paul, West Chester, PA 19380 SS. Philip and James, Exton, PA 19341 SS. Simon and Jude, West Chester, PA 19382 St. Adalbert, Philadelphia, PA 19134 St. Agatha-St. James, Philadelphia, PA 19104 St. Agnes, Sellersville, PA 18960 St. Agnes, West Chester, PA 19380 St. Agnes-St. John Nepomucene, Philadelphia, PA 19123 St. Albert the Great, Huntingdon Valley, PA 19006 St. Alice, Upper Darby, PA 19082 St. Alphonsus, Maple Glen, PA 19002 St. Ambrose, Philadelphia, PA 19120 St. Anastasia, Newtown Square, PA 19073 St. Andrew, Drexel Hill, PA 19026 St. Andrew, Newtown, PA 18940 St. Ann, Phoenixville, PA 19460 St. Ann, Bristol, PA 19007 St. Anne, Philadelphia, PA 19125 St. Anselm, Philadelphia, PA 19154 St. Anthony of Padua, Ambler, PA 19002 St. Athanasius, Philadelphia, PA 19138 St. Augustine, Bridgeport, PA 19405 St. Augustine, Philadelphia, PA 19106 St. Barbara, Philadelphia, PA 19131 St. Barnabas, Philadelphia, PA 19142 St. Bartholomew, Philadelphia, PA 19124 St. Bede the Venerable, Holland, PA 18966 St. Benedict, Philadelphia, PA 19138 St. Bernadette, Drexel Hill, PA 19026 St. Bernard, Philadelphia, PA 19136 St. Bridget, Philadelphia, PA 19129 St. Callistus, Philadelphia, PA 19151 St. Catherine of Siena, Horsham, PA 19044 St. Cecilia, Coatesville, PA 19320 St. Cecilia Rectory, Philadelphia, PA 19111 St. Charles Borromeo, Philadelphia, PA 19146 St. Charles Borromeo, Bensalem, PA 19020 St. Charles Borromeo, Drexel Hill, PA 19026 St. Christopher, Philadelphia, PA 19116 St. Cornelius, Chadds Ford, PA 19317 St. Cyprian Parish, Philadelphia, PA 19143 St. Cyril of Alexandria, East Lansdowne, PA 19050 St. Cyril of Jerusalem, Jamison, PA 18929 St. David Rectory, Willow Grove, PA 19090 St. Denis, Havertown, PA 19083 St. Dominic, Philadelphia, PA 19136 St. Donato, Philadelphia, PA 19151 St. Dorothy, Drexel Hill, PA 19026 St. Edmond, Philadelphia, PA 19145 St. Eleanor, Collegeville, PA 19426 St. Elizabeth, Uwchlan, PA 19480-0695 St. Elizabeth Ann Seton, Bensalem, PA 19020 St. Ephrem, Bensalem, PA 19020 St. Francis de Sales, Philadelphia, PA 19143 St. Francis de Sales, Lenni, PA 19052 St. Francis of Assisi, Philadelphia, PA 19144 St. Francis Xavier, Philadelphia, PA 19130 St. Gabriel, Stowe, PA 19464 St. Gabriel, Norwood, PA 19074 St. Gabriel, Philadelphia, PA 19146 St. Genevieve, Flourtown, PA 19031 St. George, Philadelphia, PA 19134 St. Gertrude, West Conshohocken, PA 19428 St. Helena, Blue Bell, PA 19422 St. Helena, Philadelphia, PA 19120 St. Hilary of Poitiers, Rydal, PA 19046 St. Hugh of Cluny, Philadelphia, PA 19140 St. Ignatius of Antioch, Yardley, PA 19067 St. Ignatius of Loyola, Philadelphia, PA 19104 St. Isaac Jogues, Wayne, PA 19087 St. James, Elkins Park, PA 19027 St. Jerome, Philadelphia, PA 19136 St. Joachim, Philadelphia, PA 19124 St. Joan of Arc, Philadelphia, PA 19134 St. John Baptist Vianney, Gladwyne, PA 19035 St. John Bosco, Hatboro, PA 19040 St. John Cantius, Philadelphia, PA 19137 St. John Chrysostom, Wallingford, PA 19086 St. John Fisher, Boothwyn, PA 19061 St. John of the Cross, Roslyn, PA 19001 St. John the Baptist, Ottsville, PA 18942 St. John the Baptist, Philadelphia, PA 19127 St. John the Evangelist, Philadelphia, PA 19107 St. John the Evangelist, Morrisville, PA 19067 St. Josaphat, Philadelphia, PA 19127 St. Joseph, Coatesville, PA 19320 St. Joseph, Aston, PA 19014 St. Joseph, Cheltenham, PA 19012 St. Joseph, Warrington, PA 18976 St. Joseph, Spring City, PA 19475 St. Joseph, Ambler, PA 19002 St. Joseph Rectory, Collingdale, PA 19023 St. Joseph the Worker, Fallsington, PA 19054 St. Jude Parish, Chalfont, PA 18914 St. Katharine Drexel, Chester, PA 19013 St. Katharine of Siena, Wayne, PA 19087 St. Katherine of Siena, Philadelphia, PA 19114 St. Kevin, Springfield, PA 19064 St. Laurence Rectory, Upper Darby, PA 19082 St. Laurentius, Philadelphia, PA 19125 St. Lawrence, Riegelsville, PA 18077 St. Leo, Philadelphia, PA 19135 St. Louis, Yeadon, PA 19050 St. Lucy, Philadelphia, PA 19127 St. Luke the Evangelist, Glenside, PA 19038 St. Madeleine Sophie, Philadelphia, PA 19119 St. Madeline, Ridley Park, PA 19078 St. Malachy, Philadelphia, PA 19122 St. Margaret, Narberth, PA 19072 St. Maria Goretti, Hatfield, PA 19440 St. Mark, Bristol, PA 19007 St. Martha, Philadelphia, PA 19154 St. Martin de Porres, Philadelphia, PA 19132 St. Martin of Tours, Philadelphia, PA 19124 St. Martin Parish, New Hope, PA 18938 St. Mary, Schwenksville, PA 19473 St. Mary Magdalen, Media, PA 19063 St. Mary of the Assumption, Philadelphia, PA 19127 St. Mary of the Assumption, Phoenixville, PA 19460 St. Matthew, Conshohocken, PA 19428 St. Matthew, Philadelphia, PA 19149 St. Matthias, Bala Cynwyd, PA 19004 St. Maximilian Kolbe, West Chester, PA 19382 St. Michael, Philadelphia, PA 19122 St. Michael the Archangel, Levittown, PA 19054 St. Monica, Philadelphia, PA 19145 St. Norbert Parish, Paoli, PA 19301 St. Patrick, Philadelphia, PA 19103 St. Patrick, Kennett Square, PA 19348 St. Patrick, Malvern, PA 19355 St. Paul, Norristown, PA 19401 St. Paul, Philadelphia, PA 19147 St. Peter, Honey Brook, PA 19344 St. Philip Neri, Lafayette Hill, PA 19444 St. Philip Neri, Philadelphia, PA 19147 St. Philip Neri, Pennsburg, PA 18073 St. Philomena, Lansdowne, PA 19050 St. Pius X, Broomall, PA 19008 St. Raymond of Penafort, Philadelphia, PA 19150 St. Richard, Philadelphia, PA 19145 St. Robert Bellarmine, Warrington, PA 18976 St. Rose of Lima, Eddystone, PA 19013 St. Rose of Lima, Philadelphia, PA 19151 St. Rose of Lima, North Wales, PA 19454 St. Stanislaus, Lansdale, PA 19446 St. Stanislaus Kostka, Coatesville, PA 19320 St. Teresa of Avila, Norristown, PA 19403-3659 St. Therese of the Child Jesus, Philadelphia, PA 19119 St. Thomas Aquinas, Croydon, PA 19021-5496 St. Thomas Aquinas, Philadelphia, PA 19145 St. Thomas of Villanova, Rosemont, PA 19010 St. Thomas the Apostle, Glen Mills, PA 19342 St. Timothy, Philadelphia, PA 19149 St. Titus, Norristown, PA 19403 St. Vincent de Paul, Philadelphia, PA 19144 St. Vincent de Paul, Richboro, PA 18954 St. William, Philadelphia, PA 19111 Stella Maris, Philadelphia, PA 19148 Visitation B.V.M., Philadelphia, PA 19125 Visitation B.V.M., Norristown, PA 19403 Other
County*
Age*
Currently Married:	Yes    No
Currently Engaged:	Yes    No
If Yes: Date of Wedding:
Been Taught NFP Before?	Yes    No
If Yes, Method of NFP Taught:
Used NFP Before?	Yes    No
If Yes, Method of NFP:
Are you being required by your parish priest to take this NFP course?        Yes    No
Special Needs for the Program (disability access, etc.)
Using Male Credit Card      Using Female Credit Card
Cost of class: $125 For more information, contact: 215-587-5639 Financial Assistance is available. Please call for information. Cancellation and Refund Policy: Refunds less a 5% processing fee (credit card transactions only) will be granted for cancellations made at least 30 days prior to first date of class. Partial refunds will be granted for cancellations made at least eight days prior to first date of class. No refund will be granted for cancellations made within seven days of first date of class. To request a refund, please call us at 215-587-5639.