Corpus Christi Parish Vacation Bible School Registration Form
Corpus Christi Parish Vacation Bible School Registration Form
June 9-13, 2025
1
Father/Mother
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2
Child #1
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3
Child #2
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4
Child #3
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5
Child #4
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6
Untitled Page
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7
Emergency/Payment
Father's First and Last Name
Nombre y Apellido del Padre
Father's First and Last Name
Nombre y Apellido del Padre
*
First
Last
Mother's First and Last Name
Nombre Completo de la Madre
Mother's First and Last Name
Nombre Completo de la Madre
*
First
Last
Primary Address
Dirección Residencial
Primary Address
Dirección Residencial
*
Street Address
Address Line 2
City
State / Province / Region
Select a State
Alabama
Alaska
Arizona
Arkansas
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
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal / Zip Code
Country
United States
Primary Phone Number
Número de Teléfono Primario
Primary Phone Number
Número de Teléfono Primario
*
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Primary Email Address
Correo Electrónico Primario
*
Child(ren) resides with:
El Estudiante reside con:
*
Child(ren) resides with:
El Estudiante reside con:
Both Parents / Ambos Padres
Mother / Madre
Father / Padre
Other / Otro
Other / Otro