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Sacramental Prep Registration

- Sacraments

For 2^nd graders (and some children/youth in grades 3-8) this is an important year in their spiritual formation. They will prepare for and celebrate the sacraments of Reconciliation and Eucharist (Holy Communion)!

Complete this form to have your child enrolled. Specific information regarding the preparation, the required informative parents' meeting, and more details will be sent to you upon registration.

For more details or for questions, contact Annie Zeets at anniezeets@gmail.com or 319-233-0498

To register for a religious education program in Waterloo, please visit http://waterloocatholics.org/reregistration
Sacrament Preparation Enrollment Form- Grades 2 through 8
The maximum number of form submissions has been reached. This form is currently not available.
- Child's Name (As it appears on their birth certificate)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth (Month, Day, Year) REQUIRED Please fill out this field. Please enter a date.
- City & State of Birth (or list country if out of the USA) REQUIRED Please fill out this field. Please enter valid data.
- Child Lives With REQUIRED Both Parents Father Mother Other Please fill out this field.
- Child's 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.
- Mother's Name
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Email REQUIRED
  This will be used to communicate about the program.
  Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Father's Info
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email
  This will be used to communicate about the program.
  Please enter an email address.
- What cell phone number can we use to send text messages about program updates? REQUIRED Maximum 20 characters
  This will be used to communicate about the program.
  Please fill out this field. Please enter a phone number.
- Language in which you wish to receive information from us: REQUIRED Please fill out this field.
- Parish where you belong? REQUIRED Please fill out this field.
- If you do not belong to a Waterloo parish, please type the name of your parish? Please enter valid data.
- What school does your child attend? REQUIRED Please fill out this field. Please enter valid data.
- What grade is your child in? REQUIRED Please fill out this field.
- Is your child enrolled in Catholic School or a parish-based religious education program? REQUIRED Please fill out this field.
- Baptismal Information
  
  Is your child baptized? REQUIRED Yes No Please fill out this field.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Church where baptized REQUIRED
  If child was not baptized in a Waterloo or Cedar Falls parish, a Baptism certificate is required.
  Please fill out this field. Please enter valid data.
  
  Address (include City/State/Zip information) REQUIRED Please fill out this field.
- Preparation Fee for 2nd graders REQUIRED
  Fees cover the supplies, team, and resources needed to help prepare you child for these sacraments.
  
  50.0 – Both First Reconciliation and First Communion
  25.0 – First Reconciliation only
  25.0 – First Communion Please fill out this field.
Total:

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