First Communion Class 2021
Classes will take place on Sundays following the 10:00 am Mass, starting on October 24, 2021
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Email *
Parents' Names: *
Email Address: *
Phone Number: *
Name of Child *
Date of Birth *
Date of Baptism
Church of Baptism
I understand that I must provide a certificate of baptism for my child  by the parish of baptism, which has been issued within the last 6 months: *
Circle of Grace Program
The Archdiocese of Omaha's Circle of Grace Program is required for all students participating in Catechism programs or Youth Groups in any parish of the Archdiocese.  There are 3 options for parents (which are listed on the next page), and so we need you to let us know the option you have chosen for your child(ren). This information must be completed before your child(ren) can attend any Catechism classes this year. Please note that this information must be updated every year, and every family must give an updated response even if they completed the survey in a previous year
Please choose from the following options:
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Submitting an Opt-Out Statement from Circle of Grace
If you are not choosing to opt-out of the Circle of Grace program, you may skip the rest of this form and submit it. Parents who are choosing to opt-out of the Circle of Grace program must submit the following in writing with a signature:    Safe Environment Training was offered to your child/young person    You refuse to allow your child/young person to participate in the training    You received Safe Environment training materials for your child/young person.  
A short email or letter is sufficient to opt-out.  Presumably, if you are sending the letter in an email format (or using the form at the bottom of this page) a hand-written signature would not be required, but please sign (type) your name in the email.  An opt-out letter or email must be written each year.If you choose to send a letter, please send it to:
Fr. John Berg, Pastor
Immaculate Conception Church
2708 S. 24th St.
Omaha, NE  68108
Or your email letter to opt out may be entered here.  (Be sure to include a date, your name and contact information in the body of your text).
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