2025-2026 First Eucharist Registration Form

2025-2026 First Eucharist Registration

Please enter all fields.
Student Name*

First NameMiddle NameLast Name
Student Date of Birth*

MonthDayYear
Date
Place of Birth (City & State)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Family E-mail*
Cell Phone Number

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Both parentsMotherFatherOther
Student Date of Baptism

MonthDayYear
Date
YesNo
Name of Church where Baptism took place*
Address of Church
Candidate must provide a copy of his/her baptismal certificate unless baptized at Ss. Cosmas and Damian Church.
Candidate Parent Information

Please fill out all information for both parents, if available.
Birth/Adoptive Mother's Name*

First NameMaiden NameLast Name
Mother's Current Parish*
Mother's Current Religion*
Birth/Adoptive Father's Name*

First NameLast Name
Father's Current Parish*
Father's Current Religion*
Attendance at all sacramental preparation classes is required. A parent is expected to attend sacramental prep classes with the candidate. Fee for Sacramental Preparation is $60.00 per candidate and should accompany this application. Paying on line will incur a $3.00 service fee. All children preparing to celebrate sacraments must also be enrolled and participating in SS. Cosmas & Damian's parish Faith Formation program, or attending a Catholic day school.
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First Eucharist Registration$63.00

Number of Children

Total $0.00
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2025-2026 First Eucharist Registration

Candidate Parent Information