First Eucharist Registration Form 2025-2026

First Eucharist Registration Form 2025-2026
We look forward to preparing your child for their First Eucharist!

The program is for students in 2nd grade who have already received the Sacrament of Baptism. Occasionally, we may have a small number of 3rd grade students who are also preparing for their First Eucharist.

Classes will be held at SMA School on Wednesdays from 4:00 p.m. to 5:00 p.m.
Student Full Name*

First NameLast Name
Date & Place of Baptism*
Age of Child*
Mothers Full Name (including Maiden)*

First NameLast Name
Father's Full Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent(s) Email Address*
example@example.com
Parent's Phone Number(s)*
Please enter a valid phone number.
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
Photo/Video Release

I give St Mary's permission to take videos and photos of my child for the parishI do not give my permission
Allergies and/or special accommodations needed

My Products

First EucharistEnter description

$80.00 Quantity

Total

$0.00