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*Please note Extended Day Payments cannot be made online. This form is for regular tuition payments only. If you wish to pay for extended day please send in a check made payable to: Christ the King Parish with a memo for PS extended day.
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- Parent Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Select class: REQUIRED Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Select class: REQUIRED Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Select class: REQUIRED Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Select class: REQUIRED Please fill out this field.
- Number of months being paid: REQUIRED Maximum 12 characters Please fill out this field. Please enter an integer (number) from 1 to 12.
Total:

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Saint Edward Church 450 Walnut Street Blawnox, PA 15238 412-828-4066	Saint Joseph Church Administrative Center 342 Dorseyville Road Pittsburgh, PA 15215 412-963-8885	Madonna of Jerusalem Church 201 9th Street Sharpsburg, PA 15215 412-784-8700	Saint Mary Church 210 Garnier Street Sharpsburg, PA 15215 412-784-8700	Saint Scholastica Church 309 Brilliant Avenue Aspinwall, PA 15215 412-781-0186
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