Erie Tri-County Catholic
Family of Parishes

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First Reconciliation and First Communion Registration

- Sacraments

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- SECTION ONE
  Parish Information
- What Parish are you registered with and will celebrate your sacraments in? REQUIRED St. Mary's Tillsonburg Sacred Heart Langton St. Michael's Walsh Please fill out this field.
- SECTION TWO
  Information about the Child
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Sex: REQUIRED Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism (baptism is required for this sacrament) REQUIRED Please fill out this field. Please enter valid data.
- Name of Church and City/Town where Baptism was celebrated REQUIRED Please fill out this field. Please enter valid data.
- What School are you registered at? REQUIRED Please fill out this field. Please enter valid data.
- Current Grade REQUIRED Please fill out this field. Please enter valid data.
- SECTION THREE
  Information about the Parents
- Mother - Current Last Name/ First Name/Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name Please enter valid data.
- Mother's Address (full address - include 911# and postal code) Please enter valid data.
- Religion of Mother REQUIRED Please fill out this field. Please enter valid data.
- Mother's Email REQUIRED Please fill out this field. Please enter an email address.
- Mother's Phone Number Maximum 20 characters Please enter a phone number.
- Father - Last Name/ First Name/Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Address (full address - include 911# and postal code) Please enter valid data.
- Religion of Father REQUIRED Please fill out this field. Please enter valid data.
- Father's Email REQUIRED Please fill out this field. Please enter an email address.
- Father's Phone Number Maximum 20 characters Please enter a phone number.
- Custodial Status REQUIRED Child living with both parents in same household Joint Cutody Individual Custody (Mother) Individual Custody (Father) Please fill out this field.
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