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Request for Sacramental Preparation 2025-26
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* Indicates required question
Student Name (First, full middle, and last):
*
Your answer
Sacrament(s) Requesting:
*
First Reconciliation
First Eucharist
Confirmation
Required
Student Date of Birth:
*
MM
/
DD
/
YYYY
Student Place of Birth (City and State):
*
Your answer
Mother's Full Name:
*
Your answer
Mother's Maiden Name:
*
Your answer
Father's Full Name:
*
Your answer
Student Email (optional):
Your answer
Student Cell Phone (optional):
Your answer
Student Current Grade:
*
Your answer
Student Grad Year:
*
Your answer
School Student is Attending:
*
Your answer
Home Address:
*
Your answer
Parent Email:
*
Your answer
Parent Cell Phone:
*
Your answer
Is your family a registered member of St. Rita Parish, Clarklake Michigan?
*
Yes
No
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