INFORMATION SHEET FOR FIRST EUCHARIST AND FIRST RECONCILIATION

It is very important to complete and return this form as soon as possible so that our records can be completed.

 

Child’s Information:

 

Child’s Last Name  _______________________  First Name   ___________________ Middle Name ______________

 

Address: ____________________________________________________________________________

 

City: _________________________________________________________________________________

 

Preferred phone: __________________________________________________________________

 

Preferred email: ___________________________________________________________________

(Be sure to fill this out. I use email for updates & changes.)

 

Date of birth:  ________________________Place of birth:_____________________________

 

Church of Baptism: _______________________________________________________________

                City, State: _________________________________________________________________

Approximate Date of Baptism: ________________________

(All records are kept at church of Baptism so after your child receives the Sacrament I have to inform the church of Baptism. We need proof of Baptism.)

 

Parents’ Information: (Fill out if different.)

Father’s Name: ___________________________________________________________________

            Address: ______________________________________________________________________

                              ______________________________________________________________________

            Phone:    ________________________________cell: _________________________________

Religious Tradition: _________________________________________________________

email ___________________________________________________

Mother’s Name: _______________________________________ Maiden Name: ________________ 

                              

          Address: ____________________________________________________

 

                        _____________________________________________________

 

          Phone:    _______________________________cell:______________________________

 

Religious Tradition: _________________________________________________________

email ___________________________________________________

PLEASE:

1. Return this form ASAP to Sheila Hershiser

2. If the person to receive the Sacraments was not baptized at St. Francis Xavier Parish, please contact the church of baptism and have them send a copy of a baptismal certificate to:  St. Francis Xavier Parish, c/o Sheila Hershiser, 25 W. Perry St., Willard, OH 44890

(419)  935-4744

FAX (419) 933-6000

25 W Perry St, Willard, OH 44890, USA

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