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Sacramental Registration

- First Reconciliation & eucharist registration
  
  Please complete the following information. The registration fee is $50, which covers the cost of books, supplies, retreats, and blessing cups.
  
  If your child was not baptized at St. George Church, please request a copy of their complete sacramental record from the church they were baptized. The record can be faxed, mailed or dropped off at the church office, Attention: Molly Rose.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Candidate Information
  
  By registering for the Sacramental process at St. George, I am aware that attendance at both Retreats and Parent Seminars is mandatory. (Dates listed on website) REQUIRED Please fill out this field.
  
  Child's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth mm/dd/yyyy REQUIRED Please fill out this field. Please enter valid data.
  
  City of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School Currently Attending REQUIRED Please fill out this field. Please enter valid data.
  
  I agree to allow St. George Catholic Church Parish to use my child's name and photo in online and/or printed materials. REQUIRED Please fill out this field.
  
  Baptism Information
  
  Date of Baptism mm/dd/yyyy REQUIRED Please fill out this field. Please enter valid data.
  
  Performed by Title REQUIRED Please fill out this field.
  
  Celebrant's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Celebrant's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Church Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Church Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Family Information
  
  Mother's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Middle Name at Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Number of Parents (Please include step-parents) REQUIRED Please fill out this field. Please enter valid data.
  
  Number of Siblings (Please include half and step siblings) REQUIRED Please fill out this field. Please enter valid data.
  
  Ages of Siblings REQUIRED Please fill out this field. Please enter valid data.
  
  Contact Information
  
  The child resides with: REQUIRED Please fill out this field.
  
  Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Mother's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Father's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Type REQUIRED Please fill out this field.
  
  Secondary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Type REQUIRED Please fill out this field.
  
  Important Information
  
  Are your family members registered parishioners at St. George Church? REQUIRED Yes No Please fill out this field.
  
  *Diocesan guidelines state that children receive their sacraments in the church in which the family is registered. If you are not a registered member at St. George Church, please contact Molly Rose at the church office for more information.
  
  We may have a need for family members to serve as a Liturgical Minister. If you have a family member, who is trained at St. George and would be willing to serve at this Mass, please let us know below.
  
  First and Last Name Please enter valid data.
  
  Relationship to Child (parent, sibling, grandparent, etc) Please enter valid data.
  
  Liturgical Minister Position
  
  First and Last Name Please enter valid data.
  
  Relationship to Child (parent, sibling, grandparent, etc) Please enter valid data.
  
  Liturgical Minister Position
  
  Reception Information
  
  Do you plan to attend the Reception in the KAC immediately following the First Eucharist Mass? REQUIRED Yes No Please fill out this field.
  
  How many people will attend? (enter "none" if you do not plan to attend the Reception) REQUIRED Please fill out this field. Please enter valid data.
  
  Sacramental Payment Amount50.0
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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- important dates
  
  *Please know that due to the pandemic, all dates are subject to change. Any changes will be communicated as soon as possibe. Thank you in advance for your patience and flexibility.
  
  First Reconciliation Seminar (Mandatory)
  September 16 - 6:00 P.M.
  (Only one parent is required to attend. Children do not attend)
  
  First Eucharist Parent Interviews
  September 17 - September 30
  
  First Reconciliation Retreat (Mandatory)
  October 4 - 9:00 A.M.- 12 NOON
  (First Eucharist candidate and one parent)
  
  First Reconciliation
  December 6
  (More details to follow)
  
  First Eucharist Seminar (Mandatory)
  January 20 - 6:00 P.M.
  (Only one parent is required to attend. Children do not attend)
  
  First Eucharist Retreat (Mandatory)
  March 21 - 9:00 A.M.- 12 NOON
  (First Eucharist candidate and one parent)
  
  First Eucharist Mass
  May 19
  (More details to follow)