Communion Application and Consent Form 2026/2027
Sign in to Google to save your progress. Learn more
Child's Name *
School *
Class Teacher *
Parents/Guardian Name *
Parents/Guardian Name
Parents/Guardian contact number *
Parents/Guardian contact email *
Our Child was baptised a Catholic *
Church of Baptism *
If other Church Church  please give name and address
Date of Baptism *
Please give a rough date if you are unsure
Baptism Certificate
Clear selection
Please select your preference to be contacted *
Privacy Statement:  The information contained in this form will be used to communicate information  on the preparation for the Sacraments of Reconciliation and Eucharist for the first time. The information will be retained on an encrypted excel spreadsheet on the Parish computer and will be accessed by Fr. Richard Hyland, Fr. Michael Shiels, Fr. Martin Hogan and Parish Secretary Marie O Reilly, only. The information submitted in this form will be destroyed once the programme for Communion has been completed. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms