First Reconciliation Form – Our Lady of Mount Carmel Parish Varroville

Enrolment Form for the Sacrament of First Reconciliation

"*" indicates required fields

Child's First Names*

Surname

Date of Birth*

dd/mm/yyyy

Fathers Name in full*

Fathers Religion

Mothers Name in full including maiden name*

Mothers Religion

Residential Address*

Street Address City Postal Code

Email Address*

Contact Telephone Numbers*

Name of Child's School*

Current Year Level*

Current Year Level eg. Grade 3 or Grade 4 etc.

Baptism Date*

Baptism Date

Parish of Baptism Include the address*

Copies of child's Baptism Certificate and child's photo

Please upload the scanned copies.

Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, doc, xls, Max. file size: 3 MB, Max. files: 3.

Documents uploaded and Fees

The fee is $25 for resources. Please tick the checkbox corresponding to the items you have uploaded for us.

Copy of child's Baptism Certificate

Child's Photo attached

Does Your child have any special considerations we need to be aware of? If yes, please list

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