Your Child's First Name (as on birth certificate) *
Your answer
Date of Baptism *
Month and year required. Insert "01" for day if unsure of exact date.
MM
/
DD
/
YYYY
Name of Catholic Church of Baptism *
Your answer
Full Postal Address of Catholic Church of Baptism *
Your answer
Parent / Guardian Name (1) *
Please note that contact details for Parent / Guardian 1 will be used as the primary contact for future communications, form requests, etc.
Your answer
Relation to child *
Choose
Mother
Father
Guardian
Other
Home Postal Address *
Your answer
E-mail address *
Your answer
Telephone Number *
Your answer
Parent / Guardian Name (2)
Your answer
Relation to child
Choose
Mother
Father
Guardian
Home Postal Address
Your answer
E-mail address
Your answer
Telephone Number
Your answer
Class teacher St Pius X School *
Choose
BNS Ms Pléamonn
BNS Ms Dunne
BNS Ms Devenney
GNS Ms Carney
GNS Ms Durkan
GNS Ms Murray
Would you like to register your family as parishioners? *
Choose
Yes
No
Would you like to receive parish community e-mail correspondence? *
Choose
Yes
No
I have read and agree to the Privacy Information. *
****Privacy Information**** The information contained in this form will be used to communicate information and resources regarding the preparation and celebration of the Sacraments of Reconciliation and of First Holy Communion in St Pius X Parish. The information will be retained on an encrypted Excel Spreadsheet and will be accessed by the Parish Priest and his delegates only. The information submitted in this form will be destroyed once the programme has been completed. All personal information is held in line with our data protection policy. If you require any further information, contact the parish on 01 4905284 or e-mail info@stpiusx.ie