Candidate for the Sacraments of Penance & Eucharist
Please complete this form for each young disciple who seeks to receive the Sacraments of Penance and/or First Holy Eucharist during the 2025-2026 School Year.
Name of the Young Person who is a candidate for Penance and/or Holy Eucharist
*
First Name
Last Name
Name of Child's Father
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Name of Child's Mother
*
First Name
Last Name
Mother's Maiden Name (if applicable)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Please provide the school your child attends and which grade they will enter in September 2025.
Which of these options best describes your relationship as parents/guardians?
*
Catholic Marriage
Married in a Non-Catholic Ceremony
Never Married
Divorced
It is complicated...we can talk!
What best describes your life of faith at this moment...
*
We are at Mass each week
We are at Mass around once a month
We make it to Mass a few times a year
We have not been active but hope to change that
It is complicated...we can talk!
Home Address of the Child
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where was the candidate for Penance / Eucharist baptized?
At Saint Cecilia Church - Fox Chase
At another Church - certificate is on file at St Cecilia School
At another Church - certificate is on file with St Cecilia PREP
I am uploading an image of the Certificate below.
Upload a copy of the Candidate for Penance / Eucharist Baptismal Certificate
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Scheduling a Meeting with Eileen Litka
Do you prefer to meet in person or via Zoom for the 30-minute "visit" with Eileen?
*
Appointment
*
Are there any other young people in the home who are in need of sacraments? Do one or both parents need a sacrament of desire to become a Catholic?
Please share any other information or thoughts with Eileen in anticipation of your meeting.
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