Sacramental Registration (Level 3 – Reconciliation and First Holy Eucharist and Level 9/10 – Confirmation)

This form is for registering your child in Preparation for a Sacrament.

Level 3 – Sacrament of Reconciliation AND First Holy Eucharist
Level 9/10 – Sacrament of Confirmation (2-year Program)

If your child is preparing for a Sacrament (Level 3 and/or Level 9/10), please fill in the form below.

Level 3 Details:
Every 2nd Sunday following 9:00am Mass @ ICC until 11:30am
Location: Kinsella (downstairs). For parents and children

Level 9/10 Details:
Mondays (unless holiday or no school) 6-30pm – 8:30pm
Location: ICC Campbell Hall. Bring your friends! Parents are always welcome.

“Because FAITH is the best taught and lived out in the family, the Church calls parents to be the first and foremost educators of their children.”

For Level 3: At least one parent/guardian is to accompany their child(ren) to Levels 3 as the Program is designed for the family. If a parent is unable to attend, please send your child(ren) with an adult with whom your child is comfortable (i.e. grandparent, aunt/uncle, etc).

Family Name(Required)

Parent / Guardian Information (i.e. mother, father, grandparent):

Parent/Guardian (1)(Required)

Phone (1)(Required)

Email (1)(Required)

Parent/Guardian (2)

Phone (2)

Email (2)

Parent/Guardian (3)

Phone (3)

Email (3)

Children Information:

Child (1)(Required)

Level (1)(Required)

School (1)(Required)

Grade (1)(Required)

Child (2)

Level (2)

School (2)

Grade (2)

Address:

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Baptism Information

Child (1) - Date of Birth(Required)

Month & Year of Baptism (1)(Required)

Name of Church & Location (1)(Required)

i.e - St. Agnes, Halifax, NS

Mother's Maiden name (1)(Required)

Child (2) - Date of Birth

Month & Year of Baptism (2)

Name of Church & Location (2)

i.e - St. Agnes, Halifax, NS

Mother's Maiden name (2)

Sponsor Information (for youth preparing for Sacrament of Confirmation)

Name of Sponsor

Sponsor Phone

Sponsor Email

Name of Parish & Location

Allergies: (same as above please)

Child (1) - Allergy

Notes (1) - Explain if needed

Child (2) - Allergy

Notes (2) - Explain if needed

Health / Learning Concerns (something more you want us to know about your child):

Child (1)

Child (2)

Payment Method

Please choose:(Required)

NO CHARGE FOR LEVEL 10 (If paid in Level 9)