First Reconciliation and First Communion 2021

Please complete the form below. If your child was not baptized at St. Michael or St. Jerome's University, you will need to provide a copy of the bapitsm certificate.
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- Child's First Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Middle Name Please enter valid data.
- Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Church of Baptism REQUIRED Please fill out this field.
- If Other, please indicate the full name of the church and the full mailing address
- Date of Baptism (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter valid data.
- Please select an option for submitting a certificate of Baptism REQUIRED Please fill out this field.
- Father's full name Please enter valid data.
- Religion REQUIRED Please fill out this field.
- If Other, please indicate Please enter valid data.
- Mother's full name Please enter valid data.
- Mother's maiden name Please enter valid data.
- Religion REQUIRED Please fill out this field.
- If Other, please indicate Please enter valid data.
- Family mailing address REQUIRED Please fill out this field. Please enter valid data.
- Additional Street info, RR#, Apt. # Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
- Postal Code REQUIRED Please fill out this field. Please enter valid data.
- Contact phone number REQUIRED Please fill out this field. Please enter valid data.
- email address REQUIRED Please fill out this field. Please enter valid data.
- Child's School REQUIRED Please fill out this field.
- If Other, please indicate Please enter valid data.
- Child's teacher Please enter valid data.
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Registration for First Holy Communion and Reconcilation will start January 11, 2021
- Sacraments