Clone of Course Registration Form

2026 Registration

June 15 - 19 (8:45 AM - 1:45 PM)
Parish of Belonging*
To what parish the family and child belongs to?
Name of Parish; Address; Denomination
Student Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Father's Name*

First NameLast Name
Father Mobile Number
Format: (000) 000-0000.
Father email address
example@example.com
Mother's Name*

First NameLast Name
Mother Mobile Number
Format: (000) 000-0000.
Mother email address 2
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Did the student receive the Sacraments of Initiation?*

Baptism & Confirmation Name

BAPTISMAL NAME (Patron Saint)CONFIRMATION NAME (Patron Saint)
Name & Location of the other Church
Fill, only if NOT Baptized, Confirmed or received first communion at St. Anthony Maronite - Cincinnati.
Denomination:
Please define Other Religious affiliation:
Allergies (Any Kind)Learning skillsMedical AlertOther
Please define Medical alert
Please define Learning skills
Please define Allergies:
T-Shirt size*
Notes, questions or comments
Registration Fee: $50

(Includes snacks & lunch) -Paid in person at Church-
EMERGENCY CONTACT: First Name* Last Name*
Area Code* Phone Number* Relationship to child*
SIGNATURE: I grant permission for my child to attend St. Anthony of Padua Maronite Church - Cincinnati, Vacation Bible School from June 15 - 19, 2026 (VBS). I am aware that in the event of an emergency, I will be contacted and expected to be available. If I am unavailable, my emergency contact person (stated above) will be available. Overall, I am placing the well-being of my child in the care of the St. Anthony VBS staff while he/she is attending the weeklong program. I trust the judgment of the staff when it comes to the health and safety of my child and will not hold The Eparchy of Our Lady of Lebanon, St. Anthony of Padua Maronite Catholic Church - Cincinnati, VBS and its constituents liable.*

I the parent / legal guardian of this child have filled this form.
Should be Empty:

2026 Registration