REGISTRATION 2017-2018 Youth Sacramental Catch-Up Registration Form This form is for the use of those who have been baptized either in the Catholic faith or in another Christian denomination but who have not completed their Sacraments of Reconciliation or Communion.
City, State, Zip: ________________________________________________________________________________ Contact Email: _________________________________________________________________________________
D I F
Home Phone: __________________________________ Cellphone: ______________________________________
N O
Date of Birth (mm/dd/yy): ______________________________________ Age: ___________________________ School Name: ____________________________________________________ Year in School: _______________
C
Please select one of the following choices:
Date of Baptism (mm/dd/yy): _______________________
My child is a baptized Catholic. My child was baptized in another faith tradition (please specify below): ______________________________
Church of Baptism: _______________________________ City/State of Baptism: _____________________________
IMPORTANT: We will need a copy of your child’s Baptismal Certificate and Birth Certificate. Please attach to this form, or bring to the parish office ASAP. Is your family registered at All Saints Parish? (circle one)
Yes
No
Not Sure
Father’s Full Name: _____________________________________________________________________________ Mother’s Full Name: _____________________________________ Maiden Name: ___________________________ This request is for: (please circle all that apply)
Reconciliation
Eucharist
Child’s name as you wish it to appear on certificate: _____________________________________________________________________________________________ First Name
Middle Name
Last Name
Parent’s Signature: _________________________________________ Date: ________________________________ Please submit your completed form to the All Saints Parish Office, 204 6th Ave SW, Puyallup, WA 98371.