St. Mary & Sons of Zebedee Sacramental Registration Form 2022

St. Mary & Sons of Zebedee Sacramental Registration Form 2022 - 2023

This form is required for all those wishing to receive the Sacraments of Reconciliation, First Communion and Confirmation.
Father's Name *

First Name Middle Name Last Name
Parish belong to *
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mother's Name *

First Name Middle Name Last Name
Parish belong to *
Mother's Maiden Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address (if different)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Baptismal name of child receiving the sacrament *

First Name Middle Name Last Name
Sacrament - please check all that apply *
Baptismal Certificate

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*Required only if you were not baptized at St. Mary - Lomira, St. James- Oakfield or St. John's - Byron Cancel of
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Sacramental Fees are as follows:

First Reconciliation: $15.00

First Communion: $25.00

Confirmation: $75.00

Please make checks payable to St. Mary Parish and write religious education fees on the memo line. Payment should be sent upon completion of this form.

Payments can be placed in the collection basket - Please address the envelope to the attention of the DRE. In example, ATTN: LESA STAEHLER DRE

Payments can be dropped off at the parish office - there is a drop slot at St. Mary's

Payments can be mailed to St. Mary Parish ATTN: DRE 699 Milwaukee St. Lomira WI 53548
Should be Empty:

St. Mary & Sons of Zebedee Sacramental Registration Form 2022 - 2023