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Vacation Bible School

- Ministries

Once a year many volunteers come together to give children a wonderful opportuinty to make friends with other Catholic children their age. Programs are designed so that children can learn about their faith in a fun and exciting way. This is a great opportunity for teens and adults to work together to help our children grow in faith.
VBS REGISTRATION FORM
The maximum number of form submissions has been reached. This form is currently not available.
- Date REQUIRED Please fill out this field. Please enter a date.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Relationship to Child REQUIRED 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.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Primary language spoken at home
- My first choice of contact for receiving communication is REQUIRED Please fill out this field.
- Are you registered member of St. Anthony Parish? REQUIRED
  Please click one
  Please fill out this field.
- If you're registered with St. Anthony, what is your Envelope Number? Please enter valid data.
- If you are not registered at St. Anthony Parish, where are you registered? REQUIRED
  Tell us the name of the Church in which you are registered.
  Please fill out this field.
- Emergency Contact Person REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
- # of Children Registering 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.
  
  Sex REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade completed REQUIRED Please fill out this field.
  
  List any special needs/allergies
  
  Person responsible for pickup after VBS REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number of person responsible for pickup REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the child REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade completed REQUIRED Please fill out this field.
  
  List any special needs/allergies
  
  Person responsible for pickup after VBS REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number of person responsible for pickup REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the child REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade completed REQUIRED Please fill out this field.
  
  List any special needs/allergies
  
  Person responsible for pickup after VBS REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number of person responsible for pickup REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the child REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade completed REQUIRED Please fill out this field.
  
  List any special needs/allergies
  
  Person responsible for pickup after VBS REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number of person responsible for pickup REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the child REQUIRED Please fill out this field. Please enter valid data.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade completed REQUIRED Please fill out this field.
  
  List any special needs/allergies
  
  Person responsible for pickup after VBS REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number of person responsible for pickup REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the child REQUIRED Please fill out this field. Please enter valid data.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade completed REQUIRED Please fill out this field.
  
  List any special needs/allergies
  
  Person responsible for pickup after VBS REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number of person responsible for pickup REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the child REQUIRED Please fill out this field. Please enter valid data.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade completed REQUIRED Please fill out this field.
  
  List any special needs/allergies
  
  Person responsible for pickup after VBS REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number of person responsible for pickup REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the child REQUIRED Please fill out this field. Please enter valid data.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade completed REQUIRED Please fill out this field.
  
  List any special needs/allergies
  
  Person responsible for pickup after VBS REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number of person responsible for pickup REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the child REQUIRED Please fill out this field. Please enter valid data.
Submit

ST. ANTHONY PARISH

UPLAND, CA

Vacation Bible School

VBS REGISTRATION FORM