First Holy Communion/ Reconciliation 2020-2021

Name*
First Middle Last
Suffix

Suffix
Gender*
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
School*
Other:
Grade*
Date of Birth*
MM slash DD slash YYYY
Parish Name of Baptism

Please submit a copy of your Baptism Certificate either to the RE office or emailed to Cakey Kiser at ckiser@ctk-tampa.org
Baptism Date
MM slash DD slash YYYY
Parent Information
Parent information is used to update the records at the Church of Baptism.
Mother's Name:
Maiden Name:
Religion:
Mother's Contact Number:
Mother's email:
Father's Name:
Religion:
Father's Contact Number:
Father's email:
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Requirements for First Holy Communion
2 years of Consecutive Catholic Education are required in order to receive the Sacraments of Reconciliation and Eucharist.
Please list where your child received this Catholic Education in 1st and 2nd grade or prep year 1 and prep year 2 (CKS, CTK Parish RE, AHN, Villa Madonna, etc.)
Catholic Education Year 2 Prep:
Catholic Education Year 1 Prep
Media Release:*
- Yes
- No
I hereby give permission for my child’s picture (note: child's name will never be printed) to be included in parish media (bulletin, email, etc).
Consent*
- I have reviewed all information on this form, made all necessary changes and added all missing information.
- As parents, we agree that it is our responsibility to teach and model the Catholic faith to our children. We promise to attend weekly Sunday Mass, or Saturday Vigil Mass, with our children.

Parent Information