1st Communion Registration Form

Family must be registered parishioners of St. Pius X Church to receive a Sacrament here.

Please contact Cass at 757-583-0291 or email Evangelization@spxnorfolk.org

Child's Information
Child's Name
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Date of Birth //
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Grade 2021-2022
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School addending:
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Date of Baptism //
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Church of Baptism
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Address of Church of Baptism
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Father's Name
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Mother's MAIDEN Name
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Family's Address
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PARENT'S INFORMATION
Mother's Cell phone # --
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Mother's Email Address
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Father's Cell Phone # --
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Father's Email Address
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Today's Date //
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Name of the Person completing this form
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Parent Signature
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Office Use: You must provide a copy of your child's baptismal certificate if he/she was NOT baptized at St. Pius X Church.
Office Use:
Baptismal Certificate ___ Parish and Sacrament Registration ___ Penance Parent Meeting ___ Penance Retreat ___ Eucharist Parent Meeting ___ Eucharist Retreat ___
Bapt.Record/Send Notif. ______1st Communion Record ______ Certificate Printed ______ Reg.Card______ ParishSoft ______