St. Luke's First Communion and Reconciliation
This form is due by September 8th, 2017.

Please complete this information as completely as possible and send or bring the sacramental fee of $60 to the Parish Office.

We will contact you soon about meetings and paperwork. Thank you!

Child's First Name
Your answer
Child's Last Name
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Child's Gender
Child's Birthdate
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DD
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Child's Schoolplace
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Child's Current Grade
Home Address (including city and zipcode)
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Father's Name
Your answer
Father's Religion
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Father's Phone Number
Your answer
Father's Email Address
Your answer
Mother's Name (including maiden name)
Your answer
Mother's Religion
Your answer
Mother's Phone Number
Your answer
Mother's Email Address
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Child's Birthplace
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Child's Date of Baptism
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DD
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YYYY
Child's Place of Baptism (including address)
If your child was not baptized at St. Luke's, please provide a copy of his or her baptismal certificate at the first class.
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Parish where your family is currently registered
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Any other information about your child that you would like us to know:
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