First Holy Communion 2nd

St. Patrick Parish Religious Education

2019-2020 Registration form for First Holy Communion Sacramental Preparation for children in grades 2 through 8 that are Baptized
Student Information
Student's First Name *
Student's Last Name *
Student's Date of Birth *

Month Day Year Date Picker Icon
Student's Place of Birth *
City and State/Province (Country if not US)
School currently attending *
Family Information
Mother's Information *

First Name Last Name
Mother's Maiden Name *
Father's Information

First Name Last Name
Guardian name if not parent
Guardian's relationship to child
Family Mailing Address *
City *
State *
ZIP Code *
Contact Phone *

Area Code Phone Number
Cell Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
E-mail *
Text Message Number

Area Code Phone Number
Emergency Contact Name *
Emergency Number *

Area Code Phone Number
Student"s Sacrament Information (Please check yes if student has received the sacrament and no if they have not received the sacrament)
Baptized *

yes no
First Holy Communion *

yes no
Sacrament of Reconciliation *

yes no
Student's 2019-2020 Religious Ed First Holy Communion Class Registration (Please select grade level for all students. For enrollment in the special needs class, check yes.)
Grade *
Sacrament Preparation *
Special Needs Class *

yes no
Please select the language for class *

English Spanish Vietnamese
Comments
Student's Baptism Information
Date of Baptism *

Month Day Year Date Picker Icon
Church of Baptism *

Church Information if checked other in above tab

Attach copy of Baptism Certificate
First Holy Communion preparation classes include the 9:00 AM Sunday Mass at St. Patrick Parish followed by class at Lawrence Catholic Academy until 11:30 AM unless otherwise noted on the class schedules. There are four required retreats for the student and at least one parent or guardian on the following dates from 1:00 pm - 3:00 pm: November 2, December 14, January 25 & March 7.
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St. Patrick Parish Religious Education