St. Stephen Catholic Church
First Reconciliation and First Communion SACRISTY RECORD STUDENT INFORMATION Full Name: _____________________________________________________________ Nombre y apellido de niño/niña
Date of Birth: ___________________________
Age: _______ Grade: _________
Fecha de nacimiento
Eedad
Grado
Place of Birth: __________________________________________________________ Lugar de nacimiento
BAPTISM INFORMATION: INCLUDE COPY OF THE CERTIFICATE Date of Baptism: ________________________________________________________ Fecha de Bautismo
Place of Baptism: ________________________________________________________ Lugar de Bautismo
Address: _______________________________________________________________ Domicilio
City/State/Zip: __________________________________________________________ Ciudad/Eastado/Zona postal
PARENT INFORMATION Father’s Full Name: _____________________________________________________ Nombre complete del Padre
Mother’s Full Maiden Name: ______________________________________________ Nombre de soltera de la madre [primer nombre y apellido soltera]
Home Address: _________________________________________________________ Domicilio
City/State/Zip: _________________________________________________________ Ciudad/Eastado/Zona postal
Phone: _________________________ Email Address: ________________________ Telefono
FOR OFFICE USE ONLY Student Registration on File: Copy of Baptism Certificate:
Yes Yes
No No
Registration Fee Paid:
Yes
No
Approved for First Communion: _________________________________________________________ [Pastor, Deacon, or D.R.E. required signature] Date of Reconciliation: ____________________ Church: _______________________________
Date of First Communion: ___________________ Church: __________________________________
Date Notification Sent to Parish of Baptism: _______________________________________________ Date Entered in Sacramental Records _____________________________________________________