Sacramental Programme 2026 Enrolment Form
Parish of Cottesloe & Mosman Park, 2 McNeil St, Peppermint Grove, WA 6011
Child's First Name
*
Child's Last Name
*
Date of Birth
*
-
Day
-
Month
Year
Name of School
*
Academic Year
*
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Which sacrament will your child receive in 2026? Please note that your child may only receive ONE sacrament per year.
*
Reconciliation (Yr 3+)
First Holy Communion (Yr 4+)
Confirmation (Yr 6+)
Confirmation Name (Saint's Name)
E.g. St Catherine
Name of Sponsor
This must be a Catholic adult who is not a parent of this child.
Sponsor's Relationship to Candidate
E.g. Godparent, aunt or uncle, grandparent, relative, family friend, teacher, parent of a friend
Is the Sponsor over the required age (17+ years old)?
Yes
No
Father's Name
*
First Name
Last Name
Father's Mobile Number
*
Mother's Name
*
First Name
Last Name
Mother's Mobile Number
*
Parent's Email Address
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State
Post Code
Please upload a copy of your child's Baptism certificate:
*
Browse Files
Cancel
of
Please upload evidence confirming your child's school year:
*
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E.g. a letter or report card from school
Cancel
of
Please upload a copy of your child's Reconciliation certificate (if applicable):
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For those registering for First Holy Communion or Confirmation in 2026
Cancel
of
Please upload a copy of your child's First Holy Communion certificate (if applicable):
Browse Files
For those registering for Confirmation in 2026
Cancel
of
I understand my child/ren may be photographed or filmed during Church activities/events and I consent to the use of such material within the Church community for promotional purposes only.
*
Yes
No
I give permission for my child/ren to engage in online forums in accordance with the Safeguarding Guidelines.
*
Yes
No
In an emergency, I give permission for medical assistance, including transport if necessary, and agree to pay for any expenses incurred.
*
Yes
No
List any medical conditions, disabilities, allergies, phobias, special needs:
*
Parent's Signature
*
Please sign in the box using your mouse or trackpad.
Submit
Should be Empty: