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First Reconciliation and First Communion Registration Form
2025-26 First Reconciliation & First Communion Sacramentary Information
"
*
" indicates required fields
Phone
This field is for validation purposes and should be left unchanged.
Will you be using a debit/credit card to pay for your student's First Reconciliation & First Communion Sacramentary fee?
*
Yes
No
Not Paying by Credit Card
Please contact the Religious Education Office to schedule an appointment to register in person.
Krystal @ 715-736-3104
Candidate Information
The following information is needed for the student receiving these 2 Sacraments.
Full Baptismal Name
*
First
Middle
Last
Date of Birth
*
MM slash DD slash YYYY
City and State of Birth
*
Gender
*
Male
Female
Date of Baptism
*
MM slash DD slash YYYY
Name of Church, City & State of Baptism
*
Father's Full Name
*
First
Middle
Last
Mother's Full Name
*
First
Middle
Last
Maiden
Best Phone number to reach you at
*
Best Email to reach you with
*
Which Four Parishes One Faith church is your family registered with?
*
Holy Trinity, Haugen
Our Lady of Lourdes, Dobie
St John the Evangelist, Birchwood
St Joseph, Rice Lake
We are not registered in one of these churches
Signature of person submitting information
Print name of signature
*
First
Last
Date
*
MM slash DD slash YYYY
Checkout / Payment
First Reconciliation & First Communion Sacramentary fee
*
Price:
Subtotal
$0.00
Credit Card
*
Card Details
Cardholder Name
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