Assumption Parish First Holy Communion 2024 Application and Consent Form

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Email *

Child's Surname *

Child's First / Christian Name *

Child's Date of Birth *

YYYY

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)

YYYY

***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.

Clear selection

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 *

YYYY

Submit

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