St. Helen First Communion 2026-2027

St. Helen Church First Communion 2026-2027

Registration
Child's Name

First Name (as you want it to appear on certificate)Middle NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Place of Birth
City and State
T-shirt size
Child Attends
Church of Baptism-If not baptized at St Helen you must submit a Baptismal Certificate (If you previously submitted a baptismal certificate you do not have to do it again)
Include Church Name, City & State
Date of baptism

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Father's Name

First NameLast Name
Father's Religion
Mother's Name

First NameMAIDEN Name
Mother's Religion
Address

Street Address

Street Address Line 2

Citystate

Postal / Zip Code
Primary Email
example@example.com
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Any Allergies or Medical Conditions?
Please give details
Payment Information

Payment of $50 is due on or before September 1st. You can pay by cash or check made to St Helen or through On-Line Giving. If you choose on-line giving, after you submit this form you will be directed to the website to complete payment.
I intend to pay by
I, undersigned, agree with the following statements:
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty:

St. Helen Church First Communion 2026-2027