• Rose City Central Catholic Family of Parishes

    Immaculate Heart and Our Lady of Perpetual Help Parish First Reconciliation and First Communion Registration Form
  • Please note preparation classes are designed for families and will be held on Wednesday Nights from 6:30 pm to 8:00 pm starting in late January at Immaculate Heart Parish Hall. For the Church your Child/ren will make their First Communion at the choice of will be further down on this form.
  • Child's Information

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  • Parent's Information

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  • Please note this email address will be used for updates to the program and important communications, consider using one that you check often. All communcations will come from a Diocese of London email address. 

  • Consent and Liability Waiver for In-Person or Virtual Meetings:

    1. I acknowledge and agree that I remain legally responsible for any personal action(s) taken by the Participant, and I fully indemnify and save harmless the Diocese of London, its Bishop, parishes, officers, directors, priests, deacons, volunteers, employees, and agents including chaperones or other representatives associated with the Event, from any claim for damages to person or property caused by the Participant.

    2. Please note that an adult must be present during an online class where video and sound will be shared with other students in the formation program. As a parent/guardian I give permission for my child to participate in online classes where sound/video images of my child will be shared with other online participants.

    5. I give my permission and consent that my child may use an online video platform to participate in the above-mentioned Event. I understand that my child will not be required to register to a video conferencing platform in order to participate in the program.

    6. I confirm that during all electronic sessions I or a designated adult, are responsible for the supervision of the Participant. For Participants under the age of 12, I or a designated adult will be present. All persons, participants, and adult leaders will be in high-traffic areas.

    By signing, I consent to the provisions of the Electronic Commerce Act, and I agree that an electronic copy of this document, including a pdf, fax, or other electronic attachment, and/or a copy with my signature or electronic signature(s), shall be equivalent to an original signed by myself under seal. By signing this legal document, I am giving up certain legal rights, including the right to sue in certain circumstances. By signing, I confirm having read all items carefully. I am in compliance with the above statements.

  • Authorization for Medical Treatment (when applicable)

    I/we hereby warrant that to the best of my/our knowledge and belief, the Participant is in good health, and I/we assume all responsibility for the health of the Participant.

    I/we hereby grant my/our permission for the Diocese of London to make arrangements for medical attention for the Participant without my/our prior approval if emergency treatment is reasonably required and confirm that I/we will be notified as quickly as quickly as possible if this authority is exercised. Enter “Yes” or “No”

  • Media Release:
    Photos and/or videos may be taken to be used on the Diocese of London websites or social media platforms, in printed materials, or submitted with press releases to local publications to illustrate our community for potential visitors. Reasonable efforts will be made by the Diocese of London not to identify participants by name. The Diocese of London is not responsible if
    participants disseminate names.


    Authorization for Communication:
    The Diocese of London may provide resources and communications to further develop your family’s understanding of future activities and events, delivered to the Participant’s school, home mailing address, and/or electronically. I/we consent to receiving resources and communications from the Diocese of London to any of the above-mentioned contact methods. I/we understand that I/we may withdraw this consent at any time.

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  • To help cover the cost of the learning materials that will be provided, we ask that a fee of $45.00 be submitted along with your registration form (please, let us know if this is a financial hardship and we will cover the cost of the materials). 

  • *e-Transfer is the preffered method of payment at this time. 

     Please note you will be contacted in Janurary 2026 with further details. 

    Keep in mind classes will be on Wednesday nights from 6:30 to 8:00 pm at Immaculate Heart Parish in the Hall.  Free child care is offerred for younger and/or older siblings.

    This is NOT a drop off program, please contact Christine if this may be an issue.

    A copy of the Sechdule will be emailed to you upon submission of this form. 

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