VBS Registration
Registration form for Vacation Bible School at St. Anthony's 2017
Family Information
Last Name
Your answer
First name of parent (s)
Your answer
Primary Phone #
Your answer
Alternate Phone #
Your answer
Primary Email Address
Your answer
Secondary Email Address
Your answer
Street Address
Your answer
City, State Zip
Your answer
Home Parish
Emergency Contact
(must be different from anyone listed above)
Emergency Name
Your answer
Emergency Phone
Your answer
Relationship to child(ren)
Your answer
Next
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