2nd Grade Sacrament Form

Candidate's Information

Candidate's Full Name^*

Other

School/Program^*

Address

Address Line 1 ^*

Address Line 2

City ^*

State ^*

ZIP Code ^*

Phone Number^*

Parent's Email^*

Baptism

*Please provide a copy (email: stcyrilre@sscmlemont.org) if not baptized at SSCM OR attach a file below.

Baptism Date (mm/dd/yy)^*

Church^*

City & State^*

Baptism Records (if not baptized at SSCM)

Please provide a PDF or JPEG file.

Parent Information

Father's Name (first & last name)

Mother's Name (first & last name)

Mother's Maiden Name

First Reconciliation / Communion Fee^*

Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu. .rm_next_btn {display:none !important} .rm_noscript_btn {display: block !important}

YOUR REGISTRATION IS NOT PROCESSED WITHOUT AN ONLINE PAYMENT.

AT THE END OF THE REGISTRATION, PLEASE WAIT TO BE TRANSFERRED TO PAYPAL PAYMENT WEBSITE.

DO NOT REFRESH THIS PAGE. THANK YOU.