2023 First Reconciliation Enrollment
Please complete by January 19
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We are so happy to help prepare your children to receive the Sacrament of Reconciliation for the first time!  Please complete this enrollment form entirely, and we will contact you if we need a copy of their Baptism Certificate.  The Parent/Child Retreat will be Tuesday, March 7 from 6:30-8:00 pm in the Church; this includes rehearsal.  They will make their First Reconciliation on March 23 at 6:30 pm. 
Last Name of First Reconciliation Candidate (Child): *
First Name of Child (full name): *
Middle Name:
Is the Child
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Is the Child enrolled
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Birthdate of Child: *
City/State/Zip of Child's Birthplace *
Date of Baptism: *
Name of Church of Baptism: *
City and State of Church of Baptism: *
PLEASE CHECK ALL THAT APPLY:
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Name of Child's Mother: *
Mother's Address: *
Zip Code *
Mother's Email Address: *
Mother's Best Phone Number: *
Name of Child's Father: *
(If Different) Father's Address:
Father's Email Address: *
Father's Best Phone Number: *
Submit
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