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

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:
TBA

“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)

Cost

Child – $40.00
Families of 4 – $120.00