Online Registration Form for Reconciliation and Communion - Our Lady of Perpetual Help Church

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 at OLPH Parish. For the Church your Child will make their Confession and Communion the choice of will be further down in this form.
Child's Information
Name *

First Name Middle Name Last Name
Male Female
Birthday *

Month Day Year
Date
Religion *
What school does your child attend? *
What Grade is your Child in? *
Child resides with both Parents?

Yes No
If No which Parent does the Child reside with?
Address of Child *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
My Child was Baptized at

Immaculate Heart Church Our Lady of Perpetual Help Church
Please upload a picture of your Child's Baptist Certificate - if not at Immaculate Heart or OLPH Church *please note you still maybe required to bring a copy in if picture is not able to be clearly read.*
I would like my child to receive their First Confession/First Communion at: *

Immaculate Heart Church Our Lady of Perpetual Help Church
Parent's Information
Father's Name *

First Name Last Name
Phone Number

Area Code Phone Number
Mother's Name *

First Name Last Name
Mother's Maiden name (if applicable) *
Phone Number

Area Code Phone Number
Primary E-mail to use for Communication *
example@example.com
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.
Please advise if there are any special needs, we should be aware of concerning your child?
Media Release I UNDERSTAND THAT Rose City Central Catholic Family of Parishes COLLECTS, RECORDS, PUBLISHES, POSTS, TRANSMITS AND DISPLAYS AUDIO/VISUAL "MEDIA" (IMAGES, RECORDINGS, VIDEOS AND OTHER MEDIA) TO FURTHER THE MINISTRY PURPOSES OF THE CHURCH. THIS APPLIES TO ALL MEDIA DISPLAYED PUBLICLY, ON THE CHURCH WEBSITE, VIA EMAILS OR IN ANY WAY MADE AVAILABLE TO VIEWING OR LISTENING BY THE CHURCH GENERAL PUBLIC. i UNDERSTAND THAT ALL MEDIA REMAINS PROPERTY OF Rose City Central Catholic Family of Parishes. I AGREE. *

Yes No
I will be paying the $45.00 Registration Fee this way:

I will send an e-Transfer for $45 to olph@dol.ca with "Child's name for First Reconciliation/Communion 2023" in the memo line (no password needed). I will be placing an Envelope labelled "Child's name First Reconciliation/Communion 2023" in the Offertory Basket at a Weekend Mass. I will be mailing a cheque/money order to Our Lady of Perpetual Help Parish labelled with "Child's name for First Reconciliation/Communion 2023" (Attention Christine Toffolon.) I would like to make payment at the first class. I would like to discuss financial assistance.
*e-Transfer is the preffered method of payment at this time.

Please note you will be contacted in Janurary 2023 with further details. Keep in mind classes will be on Wednesday nights from 6:30 to 8:00 pm at OLPH Parish.
Should be Empty:

Rose City Central Catholic Family of Parishes

Child's Information

Parent's Information

Please note you will be contacted in Janurary 2023 with further details. Keep in mind classes will be on Wednesday nights from 6:30 to 8:00 pm at OLPH Parish.