St Michael's Catholic Church

First Reconciliation & First Communion Registration Form

Child's Name:^*

Child's Middle Name:

Child's Surname: ^*

Gender: ^* Male Female

Date of Birth: ^*

City of Birth:^*

Baptism Date: ^*

Church of Baptism:^*

City of Baptism:^*

Child's School: ^*

Child's Grade: ^*

Father's First Name: ^*

Father's Family Name:^*

Father's Religion: ^*

Father's Address:^*

Father's Apt./Unit

Father's Postal Code: ^*

Father's Telephone Number: ^*

Father's Alternate Telephone Number:

Father's E-mail Address: ^*

Mother's First Name: ^*

Mother's Maiden Name: ^*

Mother's Religion: ^*

Mother's Address:^*

Mother's Apt./Unit

Mother's Postal Code: ^*

Mother's Telephone Number: ^*

Mother's Alternate Telephone Number:

Mother's E-mail Address: ^*

Registered Parishioner Yes or No: ^* Yes No

Email: ^* Yes No

Please note that all registrations require a copy of the Baptism Certificate. Please scan and attach as an e-mail or provide a copy in person to the Parish Office.

Mark this field if you would like to receive newsletter communication from the parish. You will be able to unsubscribe at any time.