Sacramental Registration Form

REGISTRATION FORM FOR FIRST RECONCILIATION (PENANCE), FIRST EUCHARIST & CONFIRMATION
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- Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Baptism Date REQUIRED Please fill out this field. Please enter valid data.
- Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Has your child received: Sacrament of Reconciliation? Sacrament of First Eucharist? REQUIRED Please fill out this field. Please enter valid data.
- Mother's name (include birth surname) REQUIRED Please fill out this field. Please enter valid data.
- Father's name REQUIRED Please fill out this field. Please enter valid data.
- Mailing Address REQUIRED Please fill out this field. Please enter valid data.
- Email Address REQUIRED Please fill out this field. Please enter valid data.
- Phone # REQUIRED Please fill out this field. Please enter valid data.
- Sponsor Names REQUIRED Please fill out this field. Please enter valid data.
- Indicate Sacraments you are Registering for: First Reconciliation First Eucharist Confirmation or All 3 REQUIRED Please fill out this field. Please enter valid data.
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ST. KEVIN'S
PARISH