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1st Communion Form SLC
to present a child for 1st communion here or elsewhere
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* Indicates required question
Name, Address, email and Phone # of Person Filling out this form
*
Your answer
I am
Parent
Godparent
Other:
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Full Name(s) of Child to Receive 1st Communion
Your answer
Date of Birth
MM
/
DD
/
YYYY
City of Birth
Your answer
Full Name of Father
Your answer
Full Maiden Name of Mother
Your answer
Full Name of Godfather
Your answer
Full Name of Godmother
Your answer
Date of Baptism
MM
/
DD
/
YYYY
Church of Baptism, including City and State
Your answer
Priest/Deacon who baptized
Your answer
I have emailed or sent a copy of baptismal certificate to Fr. Mitchel (
frmitchel@gmail.com
) at St. Lawrence (1631 Crescent Rd 66044)
Yes
copy of baptismal certificate not available
not needed - child was baptized at St. Lawrence Center KU
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Proposed Church of 1st Communion
Your answer
Proposed Date of 1st Communion
MM
/
DD
/
YYYY
Proposed Time of 1st Communion
Time
:
AM
PM
Priest or Deacon Giving 1st Communion (if known or have preference)
Your answer
I testify that
I have watched and reviewed with 1st communicant either the Presence/You are Loved module at
formed.org
or Blessed at
dynamiccatholic.com
or done similar catechetical preparation
I understand and agree to my responsibilities as parent/godparent
I intend to honor the obligation to attend Mass each Sunday and Holy Day of Obligation
I will do everything in my power to know, practice, and share the Catholic faith
I will be a faithful and exemplary witness to this child in the ways of faith
Please send evidence of my preparation to the following pastors/churches
Your answer
Special Circumstances or Accommodations?
Your answer
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