Image of St. Brigid's Cross

Registration Form

St. Brigid's Catholic Church

First Holy Communion Registration Form

Name of Candidate: ____________________________________________________________________________ First Middle Last

Home Address: ________________________________________________________________________________

Name of School: ____________________________________ Teacher: _______________________ Grade: ______

Date of Birth: ________________________________ Place of Birth: (City) ________________________________

Is Child Baptized Catholic: Yes: ___ No: ___ Date of Catholic Baptism: __________________________________

Name of Church of Catholic Baptism: ______________________________________________________________

Baptism Certificate Attached: Yes: ___ No: ___

Note: If your Child’s Baptism took place here at St. Brigid’s Church, we already have the certificate on file. If Catholic Baptism took place at another Church, please attach a copy of certificate to this registration form and bring it with you at registration.

Does your child have any special needs? ____________________________________________________________

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Father’s or Guardian’s Name: (First) _______________________(Surname) ____________________________

Contact Number: ______________________Email Address:__________________________________________

Signature: ____________________________________

Mother’s or Guardian’s Name: (First) ____________________(Maiden Name) __________________________ Contact Number: ______________________Email Address_________________________________________

Signature: ____________________________________

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In Case of Emergency:
Name: _______________________________________ Number: ________________________________________

Relationship to child __________________________________

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Registration fee $50.00: Paid by: Cash: ____ Cheque: ____ Date Received: _____________________________

300 Wolverleigh Blvd. Toronto, ON M4C 1S6 Tel: 416-696-8660 Fax: 416-425-7602 Email: stbrigid@rogers.com www.stbrigids.archtoronto.org