| SAINT JOIN VIANNEY COLLEGE SEMINARY |
| Name: First & Last |
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| Street Address |
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| City/State/Zip |
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| Home Telephone # |
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| E-Mail Address |
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| Birthdate (mo-day-yr) |
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| Age |
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| Grade |
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| Parent(s) Name: First & Last |
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| Diocese: |
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| Pastor's Name: |
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| Parish: include city & state |
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| Last School Attended (or now attending): |
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| Year of High School Graduation: |
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Also, please be sure to bring a sleeping bag and pillow.
Towels will be provided. |
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