Spring 2026 Communion Instruction Registration
Child's Name
*
First Name
Last Name
Birthdate (MM/DD/YYYY)
*
Baptism Date. Leave blank if not yet baptised.
-
Month
-
Day
Year
Date
School
*
Grade
*
Food allergies or other health / behavior related concerns. (Put NA if none)
*
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Parent / Guardian Information
Parent / Guardian Name
*
First Name
Last Name
Parent / Guardian Cell
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent / Guardian Email
*
example@example.com
Would one parent / guardian from your household be willing to lend a hand in the classroom or during our Instructed Eucharist?
*
I am able to assist with our lunch set-up / clean-up
I am able to assist with banner making
I am not able to help at this time
My child is willing to read a small part during the Instructed Eucharist on March 1 during the 9:15a Early Church service
I am able to assist with bread making
Do you grant permission for Good Shepherd to take photos/videos of your child/children during church events and to use these images in church publications, website and social media?
*
Yes
No
Submit
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