St. John's Reconciliation and First Eucharist Registration Form
Please complete this form to sign your child up for Reconciliation and First Eucharist classes.
Full Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
City & State
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
School *
Your answer
Grade *
Your answer
Father's Full Name *
Your answer
Mother's First and Maiden Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone # *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone # *
Your answer
Date of Baptism *
MM
/
DD
/
YYYY
Name and Address of Church of Baptism *
Your answer
Parents will need to provide a copy of the child's baptismal certificate to the Rectory or Religious Education Coordinator. If St. John’s was the child's church of Baptism, no certificate is needed. Thank you.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service