St. Stephen Catholic Church

First Reconciliation and First Communion SACRISTY RECORD STUDENT INFORMATION Full Name: _____________________________________________________________ Nombre y apellido de niño/niña

Date of Birth: ___________________________

Age: _______ Grade: _________

Fecha de nacimiento

Eedad

Grado

Place of Birth: __________________________________________________________ Lugar de nacimiento

BAPTISM INFORMATION: INCLUDE COPY OF THE CERTIFICATE Date of Baptism: ________________________________________________________ Fecha de Bautismo

Place of Baptism: ________________________________________________________ Lugar de Bautismo

Address: _______________________________________________________________ Domicilio

City/State/Zip: __________________________________________________________ Ciudad/Eastado/Zona postal

PARENT INFORMATION Father’s Full Name: _____________________________________________________ Nombre complete del Padre

Mother’s Full Maiden Name: ______________________________________________ Nombre de soltera de la madre [primer nombre y apellido soltera]

Home Address: _________________________________________________________ Domicilio

City/State/Zip: _________________________________________________________ Ciudad/Eastado/Zona postal

Phone: _________________________ Email Address: ________________________ Telefono

FOR OFFICE USE ONLY Student Registration on File: Copy of Baptism Certificate:

Yes Yes

No No

Registration Fee Paid:

Yes

No

Approved for First Communion: _________________________________________________________ [Pastor, Deacon, or D.R.E. required signature] Date of Reconciliation: ____________________ Church: _______________________________

Date of First Communion: ___________________ Church: __________________________________

Date Notification Sent to Parish of Baptism: _______________________________________________ Date Entered in Sacramental Records _____________________________________________________