FIRST RECONCILIATION AND FIRST COMMUNION REGISTRATION FORM

First Reconciliation/Communion 2021/22

Child's Information

The candidate for First Reconciliation & First Communion
Include First Name & any middle names that will appear on the certificate
Address
Apartment or unit #
City
State/Province
Zip/Postal
YYYY/MM/DD
Name of church & city
YYYY/MM/DD
Maximum upload size: 25MB
Please take a photo or scan a copy of the child's baptismal certificate OR drop off a copy of the certificate to the parish office or bring to the Parent Information Meeting

Parent Information

First & Last Name
First & Last Name
If yes - then please complete the electronic signature below
You may use your mouse to sign or type your signature

Preferred Contact Person for Communications

The person we should communicate with via e-mail or phone calls when necessary
First & Last Name
Please confirm your email address