First Communion and Catechism Registration

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First Holy Communion Mass Ceremonies: Saturday, May 27, 2023
Classes for First Holy Communion and Catechism begin Saturday, September 24, 2022 from 3 p.m. to 6 p.m.
NOTE: Please arrive 15 minuets before classes begin for drop-off and 15 minutes before classes end for pick-up.
NOTE: First Holy Communion will also be meeting either Tuesdays or Wednesdays from 6 p.m. to 8 p.m. (dates to be assigned to each student).
NOTE: First Holy Communion parents will also be required to attend a mandatory meeting, date is to be determined.

Family Last Name *

Home Address *

Home Number, Street, City, State and Zip code

Home Phone #

Mother's Full Name *

Mother's Cell # *

Mother's Work Phone #

Mother's Email Address *

Father's Full Name *

Father's Cell # *

Father's Work Phone #

Father's Email Address *

STUDENT #1 INFORMATION

STUDENT #1 Full Name *

Registration For: *

Catechism

First Holy Communion

Student #1 Birth Date *

YYYY

Student #1 Grade in September *

Student #1 School *

Student #1 List of illness or condition *

Known Allergies

Disability

Medication

Other

None

STUDENT #2 INFORMATION

STUDENT #2 Full Name

Registration For:

Catechism

First Holy Communion

Clear selection

Student #2 Birth Date

YYYY

Student #2 Grade in September

Student #2 School

Student #2 List of illness or condition

Known Allergies

Disability

Medication

Other

None

Clear selection

STUDENT #3 INFORMATION

STUDENT #3 Full Name

Registration For:

Catechism

First Holy Communion

Clear selection

Student #3 Birth Date

YYYY

Student #3 Grade in September

Student #3 School

Student #3 List of illness or condition

Known Allergies

Disability

Medication

Other

None

Clear selection

Emergency Contact Person Other than Parent *

Relationship *

Emergency Contact Phone # *

Payment will be made in person at two registration dates: Monday August 22 & Monday August 29

Registration for Catechism is $75.00 per student
Registration for First Holy Communion is $225.00 per student
* Please bring Baptism Certificates on the registration dates for First Communion

Touching Safety Program *

(YES) I give my permission to have my child participate in the "Touching Safety Program"

(NO) I don't give my permission to have my child participate in the "Touching Safety Program"

Required

Photo Release Form *

I grant Holy Martyrs Chaldean Catholic Church my permission to use photographs for any legal use, including but not limited to: Publicity, Copyright Purpose, Illustration, Advertising, and web contents

Required

Parent Signature *

SIGN HERE

Required

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