Reconciliation & Eucharist Registration 2022-2023
We are so glad to welcome you to our sacramental preparation program! Our workshops and sacramental celebrations will be in person for children and parents. As part of preparation, we encourage families to attend our 10:00am Sunday Mass at St. Joseph with Kids' Church for kids in grades K-5. (Please note: the 10:00am Mass is changing to 10:30am starting October 23rd). 

This registration form is for families with children who are at least seven years old in September 2022 who would like to prepare their child to celebrate the sacraments of Reconciliation and Eucharist. If you have multiple children entering preparation, please complete and submit a separate form for each child. If you have any questions or problems filling out this form, please email Tracey, tsummerhayes@newroadscatholic.org or call 617-484-0279 ext. 10.
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Email *
CHILD'S INFORMATION
Please provide your child's full name (not a nickname).
Child's First Name *
Child's Middle Name
Child's Last Name *
Gender *
Date of Birth *
Child must be at least seven years of age (born before 8/31/2015) to participate.
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Child's School *
Please list any allergies or other important safety information about your child.
Does your child require an aide or any special assistance in a classroom setting? If so, please describe below so that we can provide adequate support for all participants.
BAPTISMAL INFORMATION
Where was your child baptized? *
Church of Child's Baptism (if you selected "other" above)
Parish Name, City, and State
Approximately what year was your child baptized?
If your child was baptized at a church OTHER than St. Luke or St. Joseph of Belmont, a copy of their baptismal certificate needs to be submitted. Do you have it? 
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FAMILY INFORMATION
Child's Home Address *
Street Address
City *
Zip Code *
Home Phone *
Parent/Guardian 1 Name *
First and Last (Please use formal names)
Parent/Guardian 1 Former/Maiden Name (or enter 'none') *
Parent/Guardian 1 E-mail *
Parent/Guardian 1 Phone *
Parent/Guardian 2 Name
First and Last (Please use formal names)
Parent/Guardian 2 Former/Maiden Name (or enter 'none') *
Parent/Guardian 2 E-mail
Parent/Guardian 2 Phone
Please select your parish: *
(Not yet registered with either parish? No problem! Please visit our Web site to register: http://www.newroadscatholic.org/parish-registration)
Emergency Contact *
(Other than parents)
Emergency Contact's Phone *
Parent or Guardian's Signature *
Please type your full name below.
Photo & Video Release *
Photographs and/or videos may be taken during the workshops and/or sacramental celebrations.
WORKSHOP REGISTRATION
Preparation for Reconciliation involves:
--2 parent-child workshops
--1 Sacrament of Reconciliation celebration on December 10th, time and location TBD. Signups will take place later.

Preparation for Eucharist involves:
--3 workshops; parents will attend workshop 1 & workshop 3 with their children (children only for workshop 2)
--1 First Eucharist celebration on May 6 or 7, 2023, time and location TBD. Sign ups will take place later.

Each workshop will be in person and is offered at multiple times; please select dates below. Children and adults will meet in separate groups. At least one parent is required to attend each parent workshop (excluding Eucharist workshop 2). Please note that we cannot accommodate siblings at any workshops. Siblings and other family members are most welcome at the sacramental celebrations. 

You are welcome to attend whichever workshop dates best fit your family's schedule. However, for the best experience, we encourage families to sign up for a consistent day/time for each workshop.
Reconciliation Workshop 1 *
Please select one workshop date below.
Reconciliation Workshop 2 *
Please select one workshop date below.
Eucharist Workshop 1 *
Please select one workshop date below.
Eucharist Workshop 2 (children only) *
Please select one workshop date below.
Eucharist Workshop 3 *
Please select one workshop date below.
Sacramental Preparation Fee *
The sacramental preparation fee is $100. Please select the method of payment you will use. Financial assistance is available if needed. Please email Erin Woodbury at ewoodbury@newroadscatholic.org.
Thank you for registering!
A copy of your responses will be emailed to the address you provided.
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