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Immaculate Conception Church
The Mother Church of Westerly, RI
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VBS Pre-Registration
Events
Advent Mission
All Souls Day
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Memorial Day Cemetery Mass
Parish Mission
Marian Devotions
Use this form to pre-register for VBS at Immaculate now! Registration is finalized upon receipt of payment ($15 for the first child; $20 for the entire family; ask to speak with Fr. Capoverdi if your family requires a scholarship).
The maximum number of form submissions has been reached. This form is currently not available.
Name, Age, and Sex of Child 1:
REQUIRED
Please fill out this field.
Name, Age, and Sex of Child 2:
Name, Age, and Sex of Child 3:
Name, Age, and Sex of Child 4:
Name, Age, and Sex of Child 5:
Name, Age, and Sex of Child 6:
Name, Age, and Sex of Child 7:
Information
Street Address (Street, City, State, and Zip)
REQUIRED
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Primary Phone
REQUIRED
Please fill out this field.
Please enter valid data.
Secondary Phone
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Primary eMail
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Secondary eMail
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Will parents be helping in any areas of VBS?
REQUIRED
(Select One)
Maybe, Please Contact Me
Yes
No
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If so, how?
Please enter an email address.
Home Parish
REQUIRED
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Please enter valid data.
Any special requests (such as friends to pair with your child(ren)
Emergency
In case of emergency, contact:
REQUIRED
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Please enter valid data.
Emergency Phone
REQUIRED
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Allergies or other medical conditions (enter "None" if not applicable)
REQUIRED
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