APPLICATION 3 yr. old ______ 4 yr. old ______ 3-day program ______ 5-day program ______ Child’s Name: _____________________________ Sex: ______ DOB: ______ Address: ________________________ Zip: __________ Phone: __________ Parishioner of: ____________________ Religion: ______________________ Father’s Name: __________________ Religion: ________ Marital Status: _____ Address, if different: _________________________ Phone/Cell: ____________ Employer: ______________________ Occupation: ______________________ Mother’s Name: __________________ Religion: [...]

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