2020-2021 Children's Sacramental Registration
First Penance and First Holy Communion
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Family Name (the last name of which the family is registered) *
Primary Email (Preferred email for communications you will receive class/event reminders, emergency changes, and updates from faith formation at this address) *
Home Phone
Home Address *
Adult Household Member #1 's Full Name *
Adult Household Member #1's Cell *
Adult Household Member #1's Email *
Adult Household Member #1's Mailing address if different
Adult Household Member #2's Full Name
Adult Household Member #2's Cell
Adult Household Member #2's Email
Adult Household Member #2's Mailing Address if different
Emergency Contact 's Name and Relationship to Student *
Emergency Contact's Cell *
Family's Home Parish *
Full name of Child *
Date of Birth *
MM
/
DD
/
YYYY
Baptized Catholic? *
Baptismal Church Name, City, and Date of Baptism *
Special Needs? (Learning or physical disability, reading difficulty, hearing impairment, food allergy, etc.)
Name as it should appear on certificate *
Photo Release Statement: *
Required
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