Registration for Sacramental Prep (2nd Graders)

Registration for Sacramental Prep (2nd Graders)

2022-2023
Child's Information
Child's Full Name (as entered on the Baptismal Certificate) *

First Name Middle Name Last Name
Date of Birth *

Month Day Year
Date
Date of Baptism *

Month Day Year
Date
Name of Church Where Baptized *
City, State
Street Address of Church Where Baptized *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian Information
Father's Full Name *

First Name Middle Name Last Name
Mother's Full Name *

First Name Middle Name Maiden Name
Parent/Guardian Street Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Father's Email Address *
example@example.com
Mother's Email Address *
example@example.com
Father's Phone Number *
Please enter a valid phone number.
Mother's Phone Number *
Please enter a valid phone number.
Please indicate which at parish you wish your child to receive the sacraments *
If your child was NOT baptized at St. Joan of Arc or St. Patrick a recently issued baptismal certificate is required; please contact the parish of your child's Baptism to request it.

The certificate may be mailed, email, or faxed to St. Joan of Arc.

Mail to: Saint Joan of Arc Catholic Church, Attn: Tami Maurer, 3155 South 200 West, Kokomo, IN 46902.

Fax to: (765) 865-6683 to the attention of Tami Maurer.

Email to: tmaurer@parish.dol-in.org
Photo Consent: By signing below, I do consent and allow my child to be filmed, videotaped and/or photographed for use by my school/pastorate/Diocese of Lafayette-in-Indiana and its partners and the media. I also allow my child’s work product to be featured by the diocese.

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Registration for Sacramental Prep (2nd Graders)

Child's Information

Parent/Guardian Information