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Mount2000 Application

Name(Required)

First Last

Email(Required)

Phone(Required)

Date of Birth(Required)

MM slash DD slash YYYY

School(Required)

Grade in School(Required)

Please enter a number from 9 to 12.

Sacraments Received(Required)

Baptism

First Communion

Confirmtion

None

Have you attended Mount2000 before?(Required)

Yes

No

In 3-5 sentences, why do you want to attend Mount2000?(Required)

Mother's Name(Required)

First Last

Mother's Phone Number(Required)

Father's Name(Required)

First Last

Father's Phone Number(Required)

The cost of attending Mount2000 with St. Anthony's is $100, non-refundable. Do you want to apply for a need-based sponsorship consideration?(Required)

Yes

No

Please indicate the amount you are requesting(Required)

$0 (attend for $100)

$25 (attend for $75)

$50 (attend for $50)

Full Scholarship (attend for free)

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Church

3305 Glen Carlyn Rd.
Falls Church, VA 22041
703-820-7111
office@stanthonyparish.org

School

3301 Glen Carlyn Rd.
Falls Church, VA 22041
703-820-7450
office@saintanthonyschoolva.org

Links

Diocese of Arlington
Safe Environment

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