2021 First Reconciliation Application

Please review the Sacrament Agreement below before registering your child/ren.  You will be asked to sign the Agreement at the Parent Meeting in October.

Parent Meeting has changed to Monday, October 4th at 6:30 PM in St. Michael’s Church in Gibbstown.  

2021 Application for the Preparation & Reception of Reconciliation

If you have more than one child who will be receiving the Sacrament please click the +ADD

Child’s Last Name *

Child’s First Name *

Full Name *

* how it will appear on certificate (please check spelling accuracy)

Grade level as of 9/1/21

2nd

3rd

4th – 8th

Father’s Name (First & Last Name please) *

Mother’s Name (First & Last Name please) *

Mother’s Maiden Name *

Cell Phone *

By submitting your cell phone number you will be signed up for text alerts for Sacrament information only. This will be used throughout the Sacrament process.

Email Address *

This is the email address where all sacrament information will be sent.

Secondary Email Address

If you have another email address that you would like to receive alerts at please enter it here.

My child was baptized at one of the (3) parishes that make up St. Clare of Assisi Parish *

YES

NO

My child attends *

Faith Formation Classes

Guardian Angels Regional School

Catholic School (other than GARS)

Please submit a copy of your child’s baptismal certificate no later than June 15th. Application will be considered incomplete without baptismal information on file with parish.

One adult will be attending the parent meeting on the following date & time *

Wednesday, September 29th 6:30 PM @ St. Michael’s Church in Gibbstown

If you are human, leave this field blank.