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 *
Your answer
Child's Gender *
Child's Birthdate *
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DD
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Child's Schoolplace *
Your answer
Child's Current Grade *
Home Address (including city and zipcode) *
Your answer
Father's Name *
Your answer
Father's Religion *
Your answer
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 *
Your answer
Child's Birthplace *
Your answer
Child's Date of Baptism *
MM
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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.
Your answer
Parish where your family is currently registered *
Your answer
Any other information about your child that you would like us to know:
Your answer
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