Sacramental Preparation <div> Registration Form </div>

Before completing the registration and payment form below, be sure to read about our program requirements and expectations here.

Parish Affiliation

Parish where your family is registered REQUIRED Church of the Assumption Church of the Resurrection Other Please fill out this field.
Parish Affiliation if not Assumption or Resurrection
Please list parish name and town, but do not include any commas or periods. Thank you!
Please enter valid data.

Section 1:

Parent/Guardian 1:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Cell phone number REQUIRED Please fill out this field. Please enter a phone number.
Home Phone Number Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
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.

Parent/Guardian 2:

Section 2:

Children being registered for First Reconciliation and/or First Eucharist must be in the 2nd grade or above. Thank you.