Name* First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* PhoneBirthdateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AgePlease enter a number from 1 to 100.GradeParent(s) First and Last NameDiocesePastor's NameParish (include City and State)Last High School Attended (or currently attending)Year of High School GraduationList any food allergiesPlease note: During normal food preparation at Saint John Vianney College Seminary, cooking utensils, equipment, and preparation areas are shared. As a result, SJV cannot guarantee that any food item is completely free of allergens (egg, fish, milk, peanuts, shellfish, soy, tree nuts and wheat). If you have an extreme food allergy, we recommend you bring your own food to eat during your Vianney Visit weekend. Limited gluten free food options are available at each meal. Some meals are eaten at the University of St. Thomas. Please visit their Dining Services page for more information: stthomas.edu/dining/dietrestrictions.Photography*Photos and/or videos may be taken during the Vianney Visit weekend. Please indicate if you DO or DO NOT give SJV permission to use your photo on our promotional materials.
