2025-2026 Elementary Sacrament Preparation Request Form

If you are seeking a sacrament (Reconciliation and Holy Eucharist) for your child age 7-9, please tell us a little about yourself and your child to help us know how we can best serve you.

Your name *

Email address *

Parent Name *

Address (number and street name) *

City *

State *

Zip code *

Student Name *

Child's Baptismal Name *

Child's Date of Birth (MM/DD/YYYY) *

Child's Current Grade Level *

Parent email address *

Parent phone number *

Are you a registered parishioner at Good Shepherd? *

What sacrament(s) are you seeking for your child? *

BOTH Reconciliation and First Communion

Reconciliation ONLY

First Communion ONLY

If you are seeking Reconciliation and/or Eucharist for your child, has your child been baptized in the Catholic Church? *

Please provide your child's Baptism date AND the name of the Church where they were baptized. *

How often does your family attend Mass? *

How often do you pray together as a family? *

Has your child attended faith formation classes (catechesis/religious education) or been enrolled in Catholic School in the past? *

Does your child want to receive the sacrament you are seeking on their behalf? *

Feel free to ask your child this question now if you haven't already had the opportunity.

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