First Reconciliation & First Eucharist Program Registration

Religious Education at Saint Ambrose Parish

First Reconciliation & First Eucharist Registration 2024-2025

Candidate's Full Baptismal Name(Required)

First Middle Last

Name Candidate prefers to go by:

First Last

Family Name as Registered (if different from baptismal name):

Last

Baptism

Baptismal Date:(Required)

Church of Baptism:(Required)

Baptismal Church Address:(Required)

Street Address City State ZIP Code

In order to be registered for the First Reconciliation & First Eucharist Program, please attach a copy of the candidate's BAPTISMAL CERTIFICATE.
(Not necessary if baptized at St. Ambrose)

Upload Baptismal Certificate:

Max. file size: 100 MB.

Personal

Gender(Required)

Male

Female

Date of Birth:(Required)

Place of Birth:(Required)

Street Address City State ZIP Code

School:(Required)

Grade for Fall (2024-2025):(Required)

Home Address(Required)

Street Address City State ZIP Code

Home Phone (if applicable):

Parent Information

Father's Name:(Required)

First Last

Father's Date of Birth:(Required)

Father's Religion:(Required)

Is the father baptized?(Required)

Is the father confirmed?(Required)

Father's Cell Phone Number:(Required)

Father's Email Address(Required)

Mother's Name:(Required)

First Last

Mother's Maiden Name:(Required)

Mother's Date of Birth:(Required)

Mother's Religion:(Required)

Is the mother baptized?(Required)

Is the mother confirmed?(Required)

Mother's Cell Phone Number:(Required)

Mother's Email Address(Required)

Are you registered at Saint Ambrose?(Required)

If not, which parish?

Student's Previous Religious Education:(Required)

Saint Ambrose Grade School

Other Catholic Grade School

Saint Ambrose PSR

Other Catholic PSR

Please list grades attended for each Previous Religious Education:

Payment

Cost covering BOTH Sacraments:

Financial assistance is available, if needed. Please contact the PSR office at 330.460.7302

Price:

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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Religious Education at Saint Ambrose Parish

First Reconciliation & First Eucharist Registration 2024-2025

Baptism

Personal

Parent Information

Payment

Title

Parish Registration

Eucharistic Adoration