First Communion and Reconciliation
Student's Full Name
*
First Name
Last Name
Student's Date of Birth
*
-
Month
-
Day
Year
Date
Father's Name
*
First Name
Last Name
Mother's Name
*
First Name
Last Name
Guardian's Name (if applicable)
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of baptism (if known. Please contact church of baptism if unknown.)
-
Month
-
Day
Year
Date
Church of baptism, please include city and state. If child was not baptized at IHM, it is required to send a baptism certificate to IHM in order to receive First Communion and Reconciliation.
*
Godparents' Names
*
Do you give IHM permission to take photos of and/or use photos of your child? Please select all that apply
*
On social media such as the IHM Facebook page.
In the IHM bulletin and/or the IHM Gathering Space Monitor.
On the IHM website.
I do not give IHM to take or use photos of my child.
Any additional information we should be aware of?
Submit
Should be Empty: