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Registration for First Reconciliation & Holy Communion

- Grow in Faith

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- Child Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Grade in School (2020-2021) REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- City of Birth REQUIRED Please fill out this field. Please enter valid data.
- Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism Please enter a date.
- I understand that I must submit a copy of my child's baptism certificate to the Parish Office if the child was baptized at a church other than Nativity. Please select this field.
- Additional Accommodations (allergies, special needs, etc.
- Parents Information
- Father's First Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Last Name Please enter valid data.
- Father's Email Address REQUIRED Please fill out this field. Please enter an email address.
- Father's Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's First Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Email Address REQUIRED Please fill out this field. Please enter an email address.
- Mother's Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Photo Release
- I hereby give Nativity Church PERMISSION to publish in print, electronic, or video format the likeness or image of my child (and myself if applicable). I release all claims against Nativity Church with respect to copyright ownership and publication including any claim for compensation related to use of the materials. I do not expect to receive original photos back.
- Photo Permission REQUIRED Please fill out this field.
- Covenant and Agreement
- As the primary educators of our child(ren), we agree to assist with our child’s formal Religious Education by:
  
  1. Participating in the life of the parish, as demonstrated by our weekly Mass attendance
  
  2. Providing a proper Catholic formation setting through good attendance in either a Catholic school or Religious Ed program
  
  3. Completing a yearly ACTS (Annual Call to Stewardship) card
  
  4. Participating in all preparation programs for First Reconciliation and First Communion
  I agree to full participation of myself and my child in the preparation for First Reconciliation and First Communion at Nativity Catholic Church. Please select this field.
- Please note, we have a $40 preparation fee for our R.E. families. The school families will pay for their preparation materials through the school. This fee can be paid by cash or check. If your family has trouble paying this fee, please contact the Pastor.
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Registration for First Reconciliation & Holy Communion

Child Information

Parents Information

Photo Release

Covenant and Agreement