First Communion Registration - May 1, 12:30 PM - St. Agnes | St. Agnes and St. Rose of Lima Parishes

First Communion Registration

May 1, 12:30 PM - St. Agnes

Private Mass for up to 10 families.
Masks and Social-Distancing Required

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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...

Church of Baptism Other...

Address of Baptismal Church *

St. Rose (12 Park St. Topsfield, MA 01983)

St. Agnes (22 Boston St. Middleton, MA 01949)

Other...

Address of Baptismal Church Other...

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.

Number of Guests *

Each child is allowed to bring 10 guests. Please indicate the number of guests your child will have. Guests include immediate family, but do not include the Communicant (child). Do not include people who may sit in the overflow seating in the hall.

Confirm Date & Time *

By checking this box, you confirm that you want to register your child for First Communion on May 1 at 12:30 PM at St. Agnes Church in Middleton.

Leave this field blank