Reconciliation & Eucharist Registration 2018-19
Welcome! We're so glad to welcome you to our sacramental preparation program for 2018-19. This registration form is for families with children entering second grade (or above) in September 2018 who would like to prepare their child to receive their first Reconciliation and Eucharist. If you have multiple children entering preparation, please complete and submit a separate form for each child. If you have any questions or problems filling out this form, please email sacprep@newroadscatholic.org or call 617-484-0279 x.54.
Child's Information
Please provide your child's full name (not a nickname).
Child's Name *
First Name
Your answer
Middle Name
Your answer
*
Last Name
Your answer
Gender *
Date of Birth *
Child must be at least seven years of age or older (born before 8/31/2011) to participate.
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Where was your child baptized? *
Church of Child's Baptism *
Parish Name, City, and State
Your answer
Child's School *
Your answer
Please list any allergies or other important safety information about your child.
Your answer
Does your child require an aide or any special assistance in a classroom setting? If so, please describe below so that we can provide adequate support for all participants.
Your answer
Family Information
Child's Home Address *
Street Address
Your answer
*
City
Your answer
*
Zip Code
Your answer
Home Phone
Your answer
Parent/Guardian 1 Name *
First and Last (Please use formal names)
Your answer
Parent/Guardian 1 Phone *
Your answer
Parent/Guardian 1 E-mail *
Your answer
Parent/Guardian 1 Former Last Name (if applicable) *
Your answer
Parent/Guardian 2 Name
First and Last (Please use formal names)
Your answer
Parent/Guardian 2 Phone
Your answer
Parent/Guardian 2 E-mail
Your answer
Parent/Guardian 2 Former Last Name (if applicable)
Your answer
Please select your parish: *
(Not yet registered with either parish? No problem! Please visit our Web site to register: http://www.newroadscatholic.org/parish-registration)
Emergency Contact *
(Other than parents)
Your answer
Emergency Contact's Phone *
Your answer
Parent or Guardian's Signature *
Please type your full name below.
Your answer
Workshops Signup
Preparation for Reconciliation involves:
--2 parent-child workshops in the fall
--1 Reconciliation celebration in January

Preparation for Eucharist involves:
--3 parent-child workshops in the spring
--1 Kids' Church Day on April 7, 2019
--1 First Eucharist Rehearsal on May 14, 15 or 16. Sign ups will take place in the winter.
--1 First Eucharist celebration on May 18 or 19. Sign ups will take place in the winter.

Each workshop is offered at multiple times; please select one below. Please note that at least one parent is required to attend each workshop with your child, but we cannot accommodate siblings at any workshops. Siblings and other family members are most welcome at the sacramental celebrations. You are welcome to attend whichever workshop dates best fit your family's schedule, regardless of which parish you belong to or attend. However, for the best experience we encourage families to sign up for a consistent day/time for each workshop.

Reconciliation Workshop 1 *
Please select one workshop date below.
Reconciliation Workshop 2 *
Please select one workshop date below.
Sacrament of Reconciliation *
Please select which date your child will receive the sacrament of Reconciliation. Parents, siblings, and other family members are most welcome to attend the Reconciliation service and participate in the Sacrament of Reconciliation at that time.
Eucharist Workshop 1 *
Eucharist Workshop 2 *
Eucharist Workshop 3 *
Kids' Church Day for First Eucharist *
Sacramental Preparation Fee *
The sacramental preparation fee is $100. Please select the method of payment you will use. Financial assistance is available if needed. Please call or email Grace Murphy at 617-484-0279 x.54 or gmurphy@newroadscatholic.org.
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