Assumption Parish First Holy Communion 2024 Application and Consent Form

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E-mail *

Child's Surname *

Child's First / Christian Name *

Child's Date of Birth *

AAAA

Parent 1 / Guardian Name *

Parent 2 / Guardian Name

Child's Home Address *

Parent / Guardian Mobile Number *

Name of School *

St. Michael's

St. Raphael's

St. Gabriel's

Class Teacher's Name *

Miss Sheehy (St. Michael's)

Miss Ryan (St. Michael's)

Miss Dillon (St. Raphael's)

Miss Crowley (St. Raphael's)

Miss Daly (St. Gabriel's)

Miss Murtagh (St. Gabriel's)

Our child was baptised a Roman Catholic *

Yes

Where was your child baptised? (Please be certain the answer is correct) *

Church of Our Lady of the Assumption, Ballyfermot? (Baptism Certificate not required and no need to submit a copy as we already have it on record, and no need to answer questions marked ***).

Other church (Answer questions marked ***)

Date of Baptism (approx if not certain)

AAAA

***If your child was baptised in a church other than Assumption, Ballyfermot, please clearly state the name and address of the church and parish. (Please be sure the answer is correct.)

***If your child was baptised in a church other than Assumption, Ballyfermot, do you have a copy of the Baptismal Certificate ? Please submit a copy of the Baptismal Certificate into your child's teacher as soon as possible.

Yes, have a copy and will submit a copy to the teacher asap

Have to attain from church, will do so asap, and will submit a copy to the teacher.

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We agree to participate in any and all of the activities and events required as part of the preparations for your child to receive the Sacrament. *

Yes

Please select your preference for being contacted *

Mobile

I am able and willing to partake in online ZOOM meetings if required. *

Yes

Not able

****Privacy Notice****: The information contained in this Form will be used to send reminders for preparation meetings and Masses, as well as to send resource material to help parents / guardians and children to prepare for the Sacrament. Otherwise all information in this Form will be destroyed once the programme for First Holy Communion has been completed. *

I have read and agree to the Privacy Notice.

Signed: a typed name will suffice as a signature. *

Date *

AAAA

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