First Reconciliation and First Eucharist Sacrament Information Form

Child's Name

Mother's First and Maiden Name ( as it appears on child's birth certificate)

Father's Name ( as it appears on child's birth certificate)

Family email

Phone #

Child's Date of Birth

Child's Place of Birth ( city, state)

Child's Date of Baptism ( must have month, date and year)

Did child's baptism take place in a Catholic Church

Child's Place of Baptism ( church name, city, state)

Please note: if you child was not baptized at Holy Eucharist, please provide a COPY of your child's baptism certificate. This can be brought to the Faith formation office or dropped off at the Welcome Center on the weekends before or after mass. Thank you.

Comments ( optional)

Success! This form has been submitted.