First Communion and Reconciliation Form

2023-24 First Reconciliation & Communion Sacramentary Information

"*" indicates required fields

Will you be using a debit/credit card to pay for your student's First Communion Sacramentary fee?

Yes

Not Paying by Credit Card

Please contact the Religious Education Office to schedule an appointment to sign up for First Communion in person.

Krystal @ 715-736-3104
Rachael @ 715-736-3105

Candidate Information

The following information is needed for the First Communion Candidate receiving the Sacrament.

Full Name*

First Middle Last

Date of Birth*

City and State of Birth*

Gender*

Male

Female

Full Baptismal Name*

First Middle Last

Date of Baptism*

Name of Church, City & State of Baptism*

Mother's Full Name*

First Middle Last Maiden

Father's Full Name*

First Middle Last

Address*

Mailing City State ZIP Code

Best Phone number to reach you at*

Best Email to reach you with*

Which Cluster Parish 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 this Cluster

Signature of person submitting information*

Print name of signature*

First Last

Date*

Checkout / Payment

Would you like to cover the Credit Card Fees?*

Credit Card Processing Fee

Price: $0.00

First Communion Sacramentary fee*

Price:

Subtotal

$0.00

Credit Card

Card Details

Cardholder Name

Name

This field is for validation purposes and should be left unchanged.

31147

First Communion and Reconciliation Form

2023-24 First Reconciliation & Communion Sacramentary Information

Not Paying by Credit Card

Candidate Information

Checkout / Payment

PARISH ADMINISTRATION OFFICE

Address / Phone:

Email:

Hours: