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1'st Holy Communion Registration Form

- About

2024-25 Sacred Heart of Jesus Parish
Religious Education 1'st Holy Communion
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- Please complete all sections of this registration form.
- 1'st Child's Name (First and Last Name) 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.
- Address REQUIRED Please fill out this field. Please enter valid data.
- Please enter the childs baptismal information here.. REQUIRED
  For each child, PLease enter the Name, Date of birth, Church, City, State where baptized for each student..
  Please fill out this field.
- Additional Children
  For each child, PLease enter the Name, Date of birth, Church, City, State where baptized for each student..
- Please enter the total # of children being registered REQUIRED Please fill out this field. Please enter an integer (number).
- Allergies: REQUIRED Please fill out this field. Please enter valid data.
- Costs - covers all books, texts, and materials required for Sacramental preparation REQUIRED
  115.0 – 1- Child
  150.0 – 2 or more children Please fill out this field.
- Parents Information
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home or Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Name (please include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nearest Relative Full Name (emergency contact) ... please include Phone # REQUIRED Please fill out this field. Please enter valid data.
Total:

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