Registration Form - First Penance and First Eucharist | St. Benedict Parish

Parent/Guardian 1's First Name REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian 1's Last Name (if mother, please also list maiden name) REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Street Address REQUIRED Please fill out this field. 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.

Parent/Guardian 2's First Name Please enter valid data.

Parent/Guardian 2's Last Name (if mother, please also list maiden name) Please enter valid data.

Parent/Guardian 2's Phone Number Please enter valid data.

Parent/Guardian 2's Email Please enter valid data.

Parent/Guardian 2's Address (if different than above)

Emergency Contact Name (other than listed above) REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.

Number of Children to be registered for First Penance and First Eucharist Prep (children should be at least in Grade 2 and/or age 7 to register) REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (city and state) REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Location of Baptism (please include church, city, and state). If the child was not baptized at our parish, a copy of their baptismal certificate will need to be submitted. REQUIRED Please fill out this field. Please enter valid data.
- Please note: Per Diocesan guidelines, those wishing to celebrate this year must have been enrolled in Catholic school OR registered for and have participated in Faith Formation LAST YEAR as well as for the entire CURRENT school year.
- FOR 2023-2024 (LAST SCHOOL YEAR): Please indicate the child's enrollment/participation status REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program was the child enrolled in for 2023-2024 (LAST SCHOOL YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- FOR 2024-2025 (CURRENT SCHOOL YEAR): Please indicate the child's enrollment/participation status. REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program is the child enrolled in for 2024-2025 (CURRENT YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- Grade for 2024-2025 (CURRENT YEAR) REQUIRED Please fill out this field. Please enter valid data.
- First Penance Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on February 9, February 23, and March 2.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Penance can be scheduled once all sessions have been attended and all at-home assignments (if any) have been completed.**
- First Eucharist Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on March 16, March 23, and March 30.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Eucharist is celebrated after First Penance and can be scheduled once all First Eucharist Prep sessions have been attended and all at-home assignments (if any) have been completed.**
- Are there any special needs or arrangements that we should be aware of?
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (city and state) REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Location of Baptism (please include church, city, and state). If the child was not baptized at our parish, a copy of their baptismal certificate will need to be submitted. REQUIRED Please fill out this field. Please enter valid data.
- Please note: Per Diocesan guidelines, those wishing to celebrate this year must have been enrolled in Catholic school OR registered for and have participated in Faith Formation LAST YEAR as well as for the entire CURRENT school year.
- FOR 2023-2024 (LAST SCHOOL YEAR): Please indicate the child's enrollment/participation status REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program was the child enrolled in for 2023-2024 (LAST SCHOOL YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- FOR 2024-2025 (CURRENT SCHOOL YEAR): Please indicate the child's enrollment/participation status. REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program is the child enrolled in for 2024-2025 (CURRENT YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- Grade for 2024-2025 (CURRENT YEAR) REQUIRED Please fill out this field. Please enter valid data.
- First Penance Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on February 9, February 23, and March 2.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the selected sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Penance can be scheduled once all sessions have been attended and all at-home assignments (if any) have been completed.**
- First Eucharist Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on March 16, March 23, and March 30.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Eucharist is celebrated after First Penance and can be scheduled once all First Eucharist Prep sessions have been attended and all at-home assignments (if any) have been completed.**
- Are there any special needs or arrangements that we should be aware of?
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (city and state) REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Location of Baptism (please include church, city, and state). If the child was not baptized at our parish, a copy of their baptismal certificate will need to be submitted. REQUIRED Please fill out this field. Please enter valid data.
- Please note: Per Diocesan guidelines, those wishing to celebrate this year must have been enrolled in Catholic school OR registered for and have participated in Faith Formation LAST YEAR as well as for the entire CURRENT school year.
- FOR 2023-2024 (LAST SCHOOL YEAR): Please indicate the child's enrollment/participation status REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program was the child enrolled in for 2023-2024 (LAST SCHOOL YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- FOR 2024-2025 (CURRENT SCHOOL YEAR): Please indicate the child's enrollment/participation status. REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program is the child enrolled in for 2024-2025 (CURRENT YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- Grade for 2024-2025 (CURRENT YEAR) REQUIRED Please fill out this field. Please enter valid data.
- First Penance Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on February 9, February 23, and March 2.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the selected sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Penance can be scheduled once all sessions have been attended and all at-home assignments (if any) have been completed.**
- First Eucharist Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on March 16, March 23, and March 30.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Eucharist is celebrated after First Penance and can be scheduled once all First Eucharist Prep sessions have been attended and all at-home assignments (if any) have been completed.**
- Are there any special needs or arrangements that we should be aware of?
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (city and state) REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Location of Baptism (please include church, city, and state). If the child was not baptized at our parish, a copy of their baptismal certificate will need to be submitted. REQUIRED Please fill out this field. Please enter valid data.
- Please note: Per Diocesan guidelines, those wishing to celebrate this year must have been enrolled in Catholic school OR registered for and have participated in Faith Formation LAST YEAR as well as for the entire CURRENT school year.
- FOR 2023-2024 (LAST SCHOOL YEAR): Please indicate the child's enrollment/participation status REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program was the child enrolled in for 2023-2024 (LAST SCHOOL YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- FOR 2024-2025 (CURRENT SCHOOL YEAR): Please indicate the child's enrollment/participation status. REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program is the child enrolled in for 2024-2025 (CURRENT YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- Grade for 2024-2025 (CURRENT YEAR) REQUIRED Please fill out this field. Please enter valid data.
- First Penance Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on February 9, February 23, and March 2.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the selected sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Penance can be scheduled once all sessions have been attended and all at-home assignments (if any) have been completed.**
- First Eucharist Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on March 16, March 23, and March 30.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Eucharist is celebrated after First Penance and can be scheduled once all First Eucharist Prep sessions have been attended and all at-home assignments (if any) have been completed.**
- Are there any special needs or arrangements that we should be aware of?
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (city and state) REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Location of Baptism (please include church, city, and state). If the child was not baptized at our parish, a copy of their baptismal certificate will need to be submitted. REQUIRED Please fill out this field. Please enter valid data.
- Please note: Per Diocesan guidelines, those wishing to celebrate this year must have been enrolled in Catholic school OR registered for and have participated in Faith Formation LAST YEAR as well as for the entire CURRENT school year.
- FOR 2023-2024 (LAST SCHOOL YEAR): Please indicate the child's enrollment/participation status REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program was the child enrolled in for 2023-2024 (LAST SCHOOL YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- FOR 2024-2025 (CURRENT SCHOOL YEAR): Please indicate the child's enrollment/participation status. REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program is the child enrolled in for 2024-2025 (CURRENT YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- Grade for 2024-2025 (CURRENT YEAR) REQUIRED Please fill out this field. Please enter valid data.
- First Penance Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on February 9, February 23, and March 2.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the selected sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Penance can be scheduled once all sessions have been attended and all at-home assignments (if any) have been completed.**
- First Eucharist Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on March 16, March 23, and March 30.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Eucharist is celebrated after First Penance and can be scheduled once all First Eucharist Prep sessions have been attended and all at-home assignments (if any) have been completed.**
- Are there any special needs or arrangements that we should be aware of?
Child 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (city and state) REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Location of Baptism (please include church, city, and state). If the child was not baptized at our parish, a copy of their baptismal certificate will need to be submitted. REQUIRED Please fill out this field. Please enter valid data.
- Please note: Per Diocesan guidelines, those wishing to celebrate this year must have been enrolled in Catholic school OR registered for and have participated in Faith Formation LAST YEAR as well as for the entire CURRENT school year.
- FOR 2023-2024 (LAST SCHOOL YEAR): Please indicate the child's enrollment/participation status REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program was the child enrolled in for 2023-2024 (LAST SCHOOL YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- FOR 2024-2025 (CURRENT SCHOOL YEAR): Please indicate the child's enrollment/participation status. REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program is the child enrolled in for 2024-2025 (CURRENT YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- Grade for 2024-2025 (CURRENT YEAR) REQUIRED Please fill out this field. Please enter valid data.
- First Penance Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on February 9, February 23, and March 2.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the selected sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Penance can be scheduled once all sessions have been attended and all at-home assignments (if any) have been completed.**
- First Eucharist Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on March 16, March 23, and March 30.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Eucharist is celebrated after First Penance and can be scheduled once all First Eucharist Prep sessions have been attended and all at-home assignments (if any) have been completed.**
- Are there any special needs or arrangements that we should be aware of?
Child 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (city and state) REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Location of Baptism (please include church, city, and state). If the child was not baptized at our parish, a copy of their baptismal certificate will need to be submitted. REQUIRED Please fill out this field. Please enter valid data.
- Please note: Per Diocesan guidelines, those wishing to celebrate this year must have been enrolled in Catholic school OR registered for and have participated in Faith Formation LAST YEAR as well as for the entire CURRENT school year.
- FOR 2023-2024 (LAST SCHOOL YEAR): Please indicate the child's enrollment/participation status REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program was the child enrolled in for 2023-2024 (LAST SCHOOL YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- FOR 2024-2025 (CURRENT SCHOOL YEAR): Please indicate the child's enrollment/participation status. REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program is the child enrolled in for 2024-2025 (CURRENT YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- Grade for 2024-2025 (CURRENT YEAR) REQUIRED Please fill out this field. Please enter valid data.
- First Penance Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on February 9, February 23, and March 2.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the selected sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Penance can be scheduled once all sessions have been attended and all at-home assignments (if any) have been completed.**
- First Eucharist Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on March 16, March 23, and March 30.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Eucharist is celebrated after First Penance and can be scheduled once all First Eucharist Prep sessions have been attended and all at-home assignments (if any) have been completed.**
- Are there any special needs or arrangements that we should be aware of?
Child 8
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (city and state) REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Location of Baptism (please include church, city, and state). If the child was not baptized at our parish, a copy of their baptismal certificate will need to be submitted. REQUIRED Please fill out this field. Please enter valid data.
- Please note: Per Diocesan guidelines, those wishing to celebrate this year must have been enrolled in Catholic school OR registered for and have participated in Faith Formation LAST YEAR as well as for the entire CURRENT school year.
- FOR 2023-2024 (LAST SCHOOL YEAR): Please indicate the child's enrollment/participation status REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program was the child enrolled in for 2023-2024 (LAST SCHOOL YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- FOR 2024-2025 (CURRENT SCHOOL YEAR): Please indicate the child's enrollment/participation status. REQUIRED Please fill out this field.
- Which Catholic school or Faith Formation program is the child enrolled in for 2024-2025 (CURRENT YEAR)? REQUIRED Please fill out this field. Please enter valid data.
- Grade for 2024-2025 (CURRENT YEAR) REQUIRED Please fill out this field. Please enter valid data.
- First Penance Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on February 9, February 23, and March 2.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the selected sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Penance can be scheduled once all sessions have been attended and all at-home assignments (if any) have been completed.**
- First Eucharist Prep:
  - Will be offered Sunday afternoons 1pm-2:30pm in St. Mary's Dougherty Hall on March 16, March 23, and March 30.
  A parent or other adult must attend the sessions with the child(ren). Attendance is mandatory for all of the sessions in order to celebrate the Sacrament this year.
  **The celebration of the Sacrament of First Eucharist is celebrated after First Penance and can be scheduled once all First Eucharist Prep sessions have been attended and all at-home assignments (if any) have been completed.**
- Are there any special needs or arrangements that we should be aware of?

Do you give permission for pictures to be taken of your child/children for informational and/or advertising purposes for church programs only? REQUIRED Please fill out this field.

Materials fees: none.

Full Name of Parent/Guardian Completing this Form REQUIRED Please fill out this field. Please enter valid data.

Please check below to indicate that you are aware that a parent or other adult must attend the sessions with the child(ren) and that attendance at all of the selected sessions are required in order to celebrate the Sacraments this year. REQUIRED I understand the requirements. Please fill out this field.

Date REQUIRED Please fill out this field. Please enter a date.

St. Benedict Parish

St. Bridget's Church St. Mary's Church St. Mary's School

Registration Form - First Penance and First Eucharist

Please note: those wishing to celebrate this year must have been registered for and have participated in Faith Formation or be enrolled in Catholic school last year as well as for the entire current school year. Registered children should be at least age 7 and in grade 2.

registration form for first penance and first eucharist PREP 2025