1^st Reconciliation, 1^st Eucharist Program
(1^st Confession, 1^st Communion)
(Permission to print)

SACRAMENT REGISTRATION FORM

(Please print clearly and fill in completely. This information will be entered into the Parish Record Book.)
(Mail to the Christian Formation Office, 8420 Belair Rd., 21236)  [410-256-1630, ext 151]

CHILD'S FULL BAPTISMAL NAME:_________________________________________________.

PARENTS
LAST NAME, IF DIFFERENT FROM CHILD'S: __________________________________________.

FATHER'S NAME: _________________________________________________________________.

MOTHER'S NAME (FIRST): _________________________________________________________.

                                  (MAIDEN): ______________________________________________________.

                                  (LAST): _________________________________________________________.

ADDRESS:_________________________________________________(zip)__________________

TELEPHONE:
 (home)____________________,(work-mother)____________________,(work-father)____________

CHILD'S DATE OF BIRTH: _____________________, AGE: _______

Present School Grade:_________


CHILD'S BAPTISM INFORMATION:      DATE OF BAPTISM:___________________________
                                                                                                 (MONTH)      (DAY)      (YEAR)

(Please enclose photocopy of Baptismal Certificate, if not baptized at St. Joseph Fullerton Church.)

CHURCH WHERE BAPTIZED- _______________________________________________________

CHURCH ADDRESS- ______________________________________________________________
.
If your child was not baptized in the Catholic Faith, when was she/he received into the Catholic Church?

DATE OF PROFESSION OF FAITH ___________________________________________________

CHURCH _______________________________________________________________________

CHURCH ADDRESS _______________________________________________________________

YOUR CHILD MUST BE ENROLLED IN ONE OF THE FOLLOWING:
(Please indicate which. If none of the following, call the office at 410-256-1630, ext 151.)