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Click here to Go to www.qvdays.org Click here to find out about Quo Vadis Days Click here to find out about the priests involved in Quo Vadis Days Click here to read some testimonies from past participants Click here to find out about how to start a Quo Vadis Days program in your parish Click here to go back one level, where you can select which Archdiocese you want to register for (Portland or Seattle). Click here to read some news


Archdiocese of Portland
Registration
June 23-26, 2008

It is very important that you fill out this form entirely,
esp. the *REQUIRED FIELDS!

**Under "YOUR EMAIL", be sure to enter a good email address,
as this is where a confirmation email will be sent!

 

*Full Name:
**YOUR EMAIL:
Email Subject:
*Street Address:
*City:
*State:
*Zip Code :
*Phone Number:
*Your Parish:
*City of Parish:
Pastor :
School:
Grade Entering:
*Age:
*Birthdate:
*T-Shirt Size:
*Parent/Guardian
Day Phone:
Parent/Guardian
Evening Phone:
   
Health History
Allergies (food, drugs, insects, etc.):



Other information (injuries, special needs, etc.)

 

Is your son in general good health and able to participate in all normal youth activites?

Yes No

Please explain limitations:

In Case of Emergency, Contact:
*Name:
*Phone:
Comments:



Be patient! Sometimes this takes several seconds.

You need only to press "Submit to Father Cihak" once.

If you are not sure it went through, check your the email account you entered at the top of this page (2nd line).

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Material on this Web site may be used only with permission of Fr. Cihak


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