Name of Parent/Guardian
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
If you are not the legal guardian or custodial parent, Please contact the Parish Office regarding releases and documents.
Name of Parent/Guardian
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Children Information
If you have more than one child please list them beginning with your oldest child.
Child's Name (1)
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level
*
Please Select
Pre- School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Middle School
High School
Sacraments Completed
Baptism
1st Communion
Confirmation
Child over 7, seeking Baptism & 1st Communion
Special Needs child & cannot attend F,F&F
Child's Name (2)
First Name
Last Name
Grade Level
Please Select
Pre- School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Middle School
High School
Date of Birth
-
Month
-
Day
Year
Date
Child's Name (3)
First Name
Last Name
Grade Level
Please Select
Pre- School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Middle School
High School
Date of Birth
-
Month
-
Day
Year
Date
Child's Name (4)
First Name
Last Name
Grade Level
Please Select
Pre- School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Middle School
High School
Date of Birth
-
Month
-
Day
Year
Date
Attach Copies of Baptism Certificates
Browse Files
Drag and drop files here
Choose a file
Only needed if your child is entering the 1st Communion Program
Cancel
of
Name of Emergency Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Other Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Special Notes or Comments
Are you filling out this registration to have your child receive their 1st Communion?
Yes
No
If so, please write your Childs' full name and if they will be entering the 1st year Sacramental Preparation or returning their 2nd year Sacramental Preparation.
I understand that I will have to pay $40 per child and each Adult (Fees do not exceed $120) through St. Paul Catholic Newman Center's website in order for this registration to be complete.
*
Yes
I agree to sign and return all of the required forms for St. Paul Catholic Newman Center's Faith, Family & Friends program to complete my registration.
*
Yes
Signature
*
Submit
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