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First Eucharist Registration

- Sacraments

First Eucharist Preparation - 2nd Grade

Includes First Reconciliation
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- Child
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle REQUIRED Please fill out this field. Please enter valid data.
  
  Parish where you are registered members Please enter valid data.
  
  Gender REQUIRED Female Male Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  City of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Church, City, State of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Year of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Secondary Email Please enter an email address.
  
  Mailing Address: REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Check all that apply. Spanish Language Materials Requires Adaptive Curriculum Gluten Free Host
- There is a $70 materials fee. REQUIRED Pay by Check Pay Online (there's a Payment link after you submit this form) Please fill out this field.
- Once you hit submit and then pay you are registered.
  Please refer to the website for important dates and information.
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First Eucharist Registration

Once you hit submit and then pay you are registered.