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Sacrament Program Registration

This form is for those seeking sacraments in the Catholic Church. Our introductory session is Sunday, September 15th at 10am in the Pope John XXIII room.

Name *

This is the person who is seeking sacraments.

Age *

What age group does the person seeking sacraments fall into?

0-7

8-17

18+

Sacraments *

What sacraments is the person named above seeking?

Baptism Only (For Ages 0-7 Only)

Baptism, Confirmation and First Eucharist (for those never baptized)

Confirmation and First Eucharist (for most people baptized in other Christian faiths)

Confirmation Only (for Catholics who missed being Confirmed)

Other (we'll need to talk)

Marriage

This is only for people seeking sacraments that are 18 and over.

Yes

No - Never married

No - Previously married

N0 - Not applicable/teen

Primary email address *

Primary phone number *

(###)

###

####

Primary contact (if the person seeking sacraments is under 18)

First Name

Last Name

Thank you!