First Penance and

First Holy Communion Application

St. John Neumann

 

Please type or print

 

Name of child to receive First Holy Communion (Baptismal Name, no nick names):

 

_________________________________________________________________________________________

First                                                                                               Last

 

Address: _________________________________________________________________________________

 

City / State / Zip: _________________________________________________________________________

 

Birth Date: _______________________________age as of April 1, 2012_____________________________

 

Place of Birth (City / State): _________________________________________________________________

 

Parents’ name as it appears on the Baptismal Certificate

 

Father (Baptismal Name):  __________________________________________________________________

Mother (First and Maiden Name):____________________________________________________________


Record of Baptism of child to receive First Holy Communion (no blanks, fill in all information)

Date of Baptism:  __________________________________________________________________________

                                  Month                                                   Day                                       Year

Church of Baptism: ________________________________________________________________________

Address of Church: ________________________________________________________________________

City / State/Zip: __________________________________________________________________________

This form must be completed prior to your child receiving First Penance.  This information is required for the Parish’s Register.

The Roman Catholic Church recognizes the Scrament of Baptism as valid when received in a Christian Church other than the Roman Catholic Church.  When your child received the Sacrament of Reconciliation they became members of the Roman Catholic Faith.


DUE DECEMBER 14, 2011: Application, Photo, Donation