First Communion Registration - May 6, 11:00 AM - St. Agnes | St. Agnes and St. Rose of Lima Parishes

First Communion Registration

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First Communion May 6, 11:00 AM - St. Agnes

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Child's First Name *

Child's Last Name *

Address *

Country *

Address 1 *

Address 2

City *

State *

ZIP code *

Date of Birth *

Month

Day

Year

Place of Birth *

Date of Baptism *

Month

Day

Year

Church of Baptism *

St. Rose of Lima, Topsfield

St. Agnes, Middleton

Other (Name and Address of Church)

Church of Baptism Other (Name and Address of Church)

If baptized somewhere other than St. Rose or St. Agnes, please upload a copy of your child's baptismal certificate

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml.

Father's Full Name *

Mother's Full Name *

Mother's Maiden Name *

Email *

Please enter an email address to receive a registration confirmation.

Each child is allowed one pew. Each pew can comfortable hold about 6-8 people. Additional guests can sit in the overflow seating in the hall. Guests include parents and immediate family, but do not include the Communicant (child). Please indicate the approximate number of guests your child will have, so we know about how many rows of chairs to set up in the hall.

Approximate Number of Guests *

Approximate Number of Guests Other...

Confirm Date & Time *

By checking this box, you confirm that you want to register your child for First Communion Mass on May 6 at 11:00 AM at St. Agnes Church in Middleton.

Leave this field blank