2023/2024  1st Reconciliation / 1st Communion Registration Form
Registration Form
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Email *
Student's Full Name:
Last Name, First Name, Middle  
*
Student's Date of Birth: *
MM
/
DD
/
YYYY
Home Address: *
Student's School and Grade *
Church of Baptism/ Address of Church  *
Date of Baptism *
MM
/
DD
/
YYYY
Mother's Name: *
Mother's Maiden Name: *
Mother's Email Address: *
Mother's Cell Phone # *
Father's Name: *
Father's Email Address *
Father's Cell Phone # *
For Volunteering Purposes

Mother: Are you Safe Environment (CTP) trained & background checked?
*
For Volunteering Purposes

Father: Are you Safe Environment (CTP) trained & background checked?
*
Submit
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