2022-2023 First CommunionProgram Registration      (A copy of your child's baptismal certificate will need to be mailed in with your payment in order for your child to be officially enrolled, and start classes)
* this is for a children in sacrament prep year (2nd grade and up needing 1st Communion)

Classes are most Sundays onsite at our parish school (40 Belle Ave) from 9am to 9:50am and then attend the 10am mass together.

Tuition Information:
One Child- $250
Two or More Children- $325

Payment type: Cash or Check

Checks should be made out to St. Anslem Church, put "Confirmation Registration" in the MEMO.

*Need Financial assistance, please contact our DRE at Dre@saintanselm.org 


Sign in to Google to save your progress. Learn more
Email *
Do you have any children or teen that needs to be baptized? If so, please reach out to DRE@saintanselm.org. *
Do you (Parent/Guardian) need any of the following sacraments (baptism, first communion, or confirmation). If so, please reach out to DRE@saintanselm.org for information about RCIA " Rite of Christian Initiation for Adults." *
Family Last Name *
Mailing Address (include zipcode) *
Parent/Guardian #1:  Name *
Parent/Guardian #1:  email address *
Parent/Guardian #1:  cell number *
Parent/Guardian #2:  Name, Email, and cell number  
Student #1: Name (first and lastname) *
Student #1: Grade Level *
Student #1: Birthday *
MM
/
DD
/
YYYY
Student #1: Does he/she need any classroom accommodations. If yes, please explain. *
Student #1: Name of Church child was baptized (type in N/A if he/she still needs to be baptized) *
Student #1: Date of baptism mm/dd/yyyy (If he/she still needs to be baptized, please put N/A for the date) *
If not baptized in the Catholic Church, what denomination? Your child will need to make a profession of faith.
Student #2: Name (first and lastname)
Student #2: Grade Level
Clear selection
Student #2: Birthday
MM
/
DD
/
YYYY
Student #2: Does he/she need any classroom accommodations. If yes, please explain.
Student #2: Name of Church child was baptized (type in N/A if he/she still needs to be baptized)
Student #2: Date of baptism mm/dd/yyyy (If he/she still needs to be baptized, please put N/A for the date)
MM
/
DD
/
YYYY
If not baptized in the Catholic Church, what denomination? Your child will need to make a profession of faith.
Emergency Contact (other than parents): Name & Phone Number *
Are you interested in volunteering your time for any of the following. Please mark all that interest you. *
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Anselm Church. Report Abuse
Google Forms