First Communion Registration Form 2021-2022 Please fill out completelyChild's Name* First Middle Last Family Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Parent Phone Number*Parent's Email Address* Are you a registered Parishioner? Yes No Child's Date of Birth* MM slash DD slash YYYY Child's City and State of Birth* Child's Date of Baptism* MM slash DD slash YYYY Child's Church of Baptism, City, State* Child's School Mother's Name* First Maiden Father's Name* First Last Note: Baptismal Certificate NeededIf child is not Baptized at St. Henry, please provide a copy of his/her Baptismal CertificateFileMax. file size: 100 MB.Sacramental Fees$30 First Communion Do you wish to pay online* Yes No If yes, you will be redirected to the payment portal when you click submit.Make Checks payable to: St. Henry - Memo line: First CommunionIs there anything we need to know that will set up your child for a successful experience?Comments or other questions.NameThis field is for validation purposes and should be left unchanged.
