| Registered in this Parish Yes or No? | |
| Child's Name | |
| Father's Name | |
| Mother's Maiden Name | |
| Date of Birth | |
| Date of Baptism | |
| Place of Baptism | |
| Baptism Received On | |
| Reconciliation Received On | |
| Eucharist Received On | |
| Sponsor Catholic |
|
| Sponsor Catholic |
|
| Sponsor's Full Name | |
| Sponsor's Address (street,city,state,zip) | |
| Sponsor's Home Phone | |
| Sponsors Work Phone | |
| Sponsor's Cell Phone | |
| Sponsor's Email Address | |
| Family Name | |
| Address (street,city,state,zip) | |
| Home Phone | |
| Work Phone | |
| Cell Phone | |
| Email Address | |
| Father's Name - Catholic - Yes | |
| Father's Name - Catholic - No | |
| Mother's Name - Catholic - Yes | |
| Mother's Name - Catholic - No | |
| Step Parent's Name - Catholic - Yes | |
| Step Parent's Name - Catholic - No | |
| Special Needs, Allergies & Medication |
|
| Child's Name | |
| Parent/Guardian | |
| Presentation of the Gospel @ a 10:30 Mass (Mandatory) |
|
| Rite of Signation @ a 10:30 Mass (Mandatory) |
|
| Retreat & First Reconciliation (Mandatory) |
|
| Rehearsal for First Eucharist (Mandatory) |
|
| Help with Class Service Projects |
|
| Help with Class Photos |
|
| Seasonal Activities |
|
| Religious Education Parent Advisory Committee |
|
| Catechist & Volunteer Appreciation |
|
| Office assistance, mailings, copying, etc. |
|
| Scholarship for someone unable to pay. |
|
| Image Verification |  | |
|
| | |
|