First Holy Communion & Reconciliation Registration Form / Registracion para Primera Communion

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Please complete this form for each child you want to register for First Holy Communion at St. Cornelius. Once you complete this form, we will follow up with you by the start of August. Thanks!
Favor de completar una forma por niño/a para registrar sus hijos para Primer Comunión en San Cornelio. Cuando haya completado la forma, nosotros nos conectamos con usted con más información. Gracias!

Email *

Parent/ Legal Guardian Full Name / Nombre de Papa/Mama o Guardián *

Phone Number / Numero de Telefono *

Is this a cell phone or home phone? / Celular o Numero de Casa *

Cell Phone / Celular

Home Phone / Numero de Casa

Please indicate the following regarding the child's home status. Déjenos saber sobre el hogar de su hijo/a. *

Child lives at home with both parents. Hijo/a vive en casa con sus padres.

Child lives at home with one parent. Hijo/a vive en casa con un padre solamente.

Child lives at home with a legal guardian. Hijo/a vive con su guardián.

Child lives with grandparents. Hijo/a vive con sus abuelos.

Child lives part time with one parent and part time with one parent. Hijo/a tienes dos hogares.

Other:

Preferred method of communication. Metodo de comunicacion que prefiere. *

Email / Correo Electronico

Phone / Telefono

Mail / Correo a Domicilio

In-person / En Persona

Which Catholic Parish is your family registered to/ do you regularly worship at? A cuál parroquia pertenece or atiende misa dominical? *

Child First Name / Nombre de su Hijo/a *

Child Last Name / Apellido *

Male or Female / Masculino o Femenino. *

Age / Edad *

Child Nickname or Preferred Name / Sobrenombre *

Grade Level for 2022-2023 / Año Escolar en 2022-2023 *

1st

2nd

3rd

4th

5th

Other:

Required

Date of Birth / Fecha de Nacimiento *

YYYY

Which Catholic Parish was the child baptized at? En cuál parroquia fue bautizado? *

Date of Baptism / Fecha de Bautizo *

We need a copy of the Baptismal Certificate. Do you have one ready to submit to us or are you in the process of asking for one? / Necesitamos copia de Bautizo. Tiene una lista para entregar o está en proceso de recibirla? *

I have one ready to drop off at St. Cornelius. / Tengo una copia lista para entregar a la Iglesia.

I have asked for a copy. / He pedido una copia.

I am making a copy and will mail/drop off. / Voy hacer una copia y entregar.

I will scan and email to faithformation@stcorneliuslb.org / Voy a escanear y enviar por correo electronico a faithformation@stcorneliuslb.org

Other:

Are there are any health concerns or allergies we should know about? / Tiene información sobre su salud o alergias?

Emergency Contact Name / Nombre de Contacto de Emergencia *

Emergency Contact Phone Number / Numero de Telefono *

The following three questions are meant to help us learn more about your family's faith life. There is no correct answer and there is no shame in what you answer. It is merely to help with our content choices in our faith formation. Thank you.

Please rate your comfortability leading prayer for your family. / Déjenos saber su experiencia en familia con oración. *

Very uncomfortable. / No estamos cómodos orar en familia.

Very comfortable. / Muy cómodos orando juntos en familia.

Do you attend mass weekly? / Atiende misa dominical? *

Yes / Si

More like once a month. / Más o menos una vez al mes.

Other:

Please rate your answer to the following statement. My children have role models of what it means to follow Jesus and have faith in God. / Mis hijos tienen personas en su vida que son modelos a seguir en la fe. *

They do not, unfortunately. / Desafortunadamente no.

They have many role models in their life. / Si tienen modelos de fe en su vida.

We encourage parents/guardians to be role models for their children in faith. What is one way you are willing to grow in your faith? / Cual es una manera que usted como padre/madre puede crecer en la fe. *

I want to go to confession. / Me gustaría confesarme.

I would like to attend a retreat. / Me gustaria participar en un retiro.

I want to attend mass weekly. / Quiero ir a misa cada Domingo.

I would like to speak to a priest for counsel, about something I am going through or thinking a lot about. / Me gustaría hablar con un sacerdote sobre una experiencia or una pregunta.

I would like to learn more about the Bible. / Me gustaria aprender mas sobre la Biblia.

Other:

Required

We depend on volunteers for our program events and communication. In what area(s) are you willing and able to support us? En cuál manera puede ayudarnos con su voluntariado. *

I can help with set up and clean up. / Puedo ayudar antes y después de las reuniones.

I can pitch in for catering or special things. / Puede dar dinero para comida o otras cosas especiales.

I can help lead prayers. / Puede ayudar a rezar y con oración.

I can help lead ice-breakers with children. / Puede ayudar con los juegos para los niños.

I can lead worship. / Puedo ayudar con la alabanza.

I can be a TA with the children for their lessons. / Puede ser ayudante de los catequistas.

I can help with hospitality and sign-ins. / Puedo ayudar con la hospitalidad y bienvenida.

Other:

Required

Lastly, There is a $100 registration fee per child required to complete this registration. Please indicate your preference for payment. *

I will mail in a check payable to St. Cornelius Church.

I will drop off a check payable to St. Cornelius Church.

I will come by during office hours to drop off my cash payment.

Required

Thank you! We will follow up with you soon and look forward to meeting you in person. You may contact Ana Lopez with any questions at 562-362-6561.

A copy of your responses will be emailed to the address you provided.

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