2023 First Reconciliation Application

Please review the Sacrament Agreement below before completing an application for your child/ren.  Once you have applied for the Sacrament you will be sent to the payment page. There is a $25 Sacrament fee for each child preparing & receiving Reconciliation.

2023 Application for the Preparation & Reception of Reconciliation

2023 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 9/1/23

2nd

3rd

4th – 8th

Add Remove

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 St. Clare of Assisi Parish? *

YES

NO

My child attends *

Faith Formation Classes

Guardian Angels Regional School

Catholic School (other than GARS)

My child prefers to receive the Sacrament in the following language *

ENGLISH

SPANISH

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.

Today’s Date

Acknowledgement

If you are human, leave this field blank.

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