On Line Sacrament Registration Form

Registration Form - Sacraments

Candidate's Full (Legal) Name REQUIRED Please fill out this field. Please enter valid data.

Gender

Please select

Female Male

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

Telephone Number REQUIRED Please fill out this field. Please enter a phone number.

School Attending REQUIRED Please fill out this field.

Candidate's Birth REQUIRED

Select day and month from calendar and edit the year.

Please fill out this field. Please enter a date.

Place of Birth REQUIRED Please fill out this field. Please enter valid data.

Has Candidate Been Baptized Yes No

Church of Baptism REQUIRED Please fill out this field. Please enter valid data.

Address Church of Baptism REQUIRED Please fill out this field. Please enter valid data.

Is A Photocopy of Baptism Certificate Being Sent To Parish Office

You can email or fax a copy to the Parish Office or bring it to the Office.

Yes No

Name Candidate's Father REQUIRED Please fill out this field. Please enter valid data.

Name Candidate's Mother REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Registered Member St. Gerard Majella Yes No

If Not Member St. Gerards, What Parish? Please enter valid data.

Sacrament Registering For

Registering for First Reconciliation and First Eucharist is done at same time so include both.

Reconciliation/First Communion Confirmation

Email Address REQUIRED

If you do not have an email address, leave blank.

Please fill out this field. Please enter valid data.