1st Eucharist & Reconciliation Registration

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Sacrament 1st Reconciliation & 1st Eucharist
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- One form for each child in the family needs to be submitted. Please contact the faith formation office if you have any questions at 317.826.6000 x 180.
- Child's Full Name (Name Given at birth) REQUIRED Please fill out this field. Please enter valid data.
- Father's Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Birth Place (City & State) REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Date REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Church Name REQUIRED Please fill out this field. Please enter valid data.
- City and State REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Sponsors Please enter valid data.
- There is a fee of $100, $50 per sacrament to cover books and retreats. Please make checks payable to Saint Simon or pay through Faith Direct. For school ministry families, your FACTS account will be charged a total of $100.
  
  To Pay through Faith Direct click the link below.
  https://membership.faithdirect.net/events/details/4685
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Saint Simon the Apostle

A Community of Prayer, Praise and Worship

1st Eucharist & Reconciliation Registration

Sacrament 1st Reconciliation & 1st Eucharist