First Eucharist and Reconciliation Registration Form 2019-2020

Please note: There is a $50/family registration fee.

Child's Name *
Child's Name
Mother's Name *
Mother's Name
Father's Name *
Father's Name
Has your Child Been Baptized *
Where Baptized? *
Child's Date of Birth *
Child's Date of Birth
Your Address *
Your Address
Phone *
Phone
Photo Release? *