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Home
About
About Us
Mission, Values, Plan & Partnership
Pastor & Staff
Our Councils
History
Our Patron Saint
Photo Albums
Contact Us
Communications
Bulletin
Homilies
Videos
Worship
Worship and pray with us
Mass Times
Liturgical Ministries
Grow
Grow In Faith
Grow in faith
Sacrament Preparation
Religious educator resources
Links
For Adults
Adult Faith Formation
Family Faith Formation
For Youth
Children's Faith Formation
Youth Group
Connect
Connecting as a parish community
Special Events
Support Services
Serve
Serve and seek justice
Faith at work
Stewardship
Affiliated Service Organizations
News & Events
News
News
Mass and Media
Events
Calendar
KidzCamp form
Invisble Group
eGiving
Caroling Form
KidzCamp form
Saved Text
Harvest Fest Youth form
The maximum number of form submissions has been reached. This form is currently not available.
2019 Catholic Kidz Camp
Uncover the Mystery!
Discover the key to heaven!
The Assorted Saints know the secrets!
July 8--12 (Monday through Friday)
10:00 am--1:30 pm daily
Corpus Christi Campus
Number children registering for camp
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.
Grade
REQUIRED
PreK/K, age 4 & up
Grades 1--2
Grades 3--4
Grades 5--6
Please fill out this field.
Tee Shirt size
REQUIRED
child S
child M
child L
adult S
adult M
adult L
adult XL
Please fill out this field.
Please list any food allergies or other health issues.
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.
Grade
REQUIRED
PreK/K, age 4 & up
Grades 1--2
Grades 3--4
Grades 5--6
Please fill out this field.
Tee Shirt size
REQUIRED
child S
child M
child L
adult S
adult M
adult L
adult XL
Please fill out this field.
Please list any food allergies or other health issues.
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.
Grade
REQUIRED
PreK/K, age 4 & up
Grades 1--2
Grades 3--4
Grades 5--6
Please fill out this field.
Tee Shirt size
REQUIRED
child S
child M
child L
adult S
adult M
adult L
adult XL
Please fill out this field.
Please list any food allergies or other health issues.
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.
Grade
REQUIRED
PreK/K, age 4 & up
Grades 1--2
Grades 3--4
Grades 5--6
Please fill out this field.
Tee Shirt size
REQUIRED
child S
child M
child L
adult S
adult M
adult L
adult XL
Please fill out this field.
Please list any food allergies or other health issues.
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.
Grade
REQUIRED
PreK/K, age 4 & up
Grades 1--2
Grades 3--4
Grades 5--6
Please fill out this field.
Tee Shirt size
REQUIRED
child S
child M
child L
adult S
adult M
adult L
adult XL
Please fill out this field.
Please list any food allergies or other health issues.
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.
Grade
REQUIRED
PreK/K, age 4 & up
Grades 1--2
Grades 3--4
Grades 5--6
Please fill out this field.
Tee Shirt size
REQUIRED
child S
child M
child L
adult S
adult M
adult L
adult XL
Please fill out this field.
Please list any food allergies or other health issues.
Parent/Guardian
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Can you volunteer to help?
yes
Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Costs
Registration fee, including daily lunch, T-shirt, and Assorted Saints Storybook is
$20 / child
.
T-shirts free if registerd by June 26.
Total number children
REQUIRED
Please fill out this field.
Please enter valid data.
X $20.00
Total $
REQUIRED
Please fill out this field.
Please enter valid data.
+ optional Assorted Saints music CD @ $ 5.99
Please reserve 1 CD
please reserve 2 CDs
please reserve a CD for each child
Total = children X 20 + (number CDs ordered x 5.99)
REQUIRED
Please fill out this field.
Please enter valid data.
I Agree to send a check in this amount to Director of Religious Ed, St John Vianney Parish, 704 Montdale Rd, Scott Twp PA 18447
Please select this field.
For further information
please contact
JoAnn Wilbur, DRE
570.254.9502 x3
or
email
Submit
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