Late Registration Forms | Stmarysparishreddeer

Eucharist & Reconciliation

Eucharist Fom

Child's Last name

Child's First name

Child's Middle Name

Birthday

Year

Month

Day

Place of Birth

Date of Baptism

Year

Month

Day

Name of Church of Baptism

City, Country of Baptism

Father's Last Name

Father's First Name

Father's Middle Name

Father's Religion

Mother's Last Name

Mother's First Name

Mother's Middle Name

Mother's Religion

Home Address

Country/Region

Address

City

Zip / Postal code

Mother's Phone

Mother's Email

Father's Phone

Father's Email

Child's School

Permission for a child under the age of 14 to receive their 1st Eucharist and 1st Reconciliation:

Mother's Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Father's Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Baptism Certificate (If NOT baptized at St. Mary's)