First Reconciliation & First Communion

Sacraments are not something we GET: They are an ENCOUNTER with Christ.

The primary goal of sacramental catechesis is the formation and transformation of the person as they prepare to receive a sacrament.The Eucharist is the heart of the Catholic Christian life. Through preparation, parents and children experience the meaning of Christ’s love in the Eucharist. Through preparation, parents and children come to know more fully the love of Jesus and His mercy and forgiveness that leads to the fullness of life.

First Reconciliation & First Holy Communion Preparation Registration 2024-2025

Date(Required)

Students Name(Required)

Last Middle First

Students Name

Last Middle First

Date of Birth(Required)

Gender(Required)

Male

Female

Indicate Type of Religious Education Program Attended Last Year 2023-2024(Required)

Parish Religious Education

PREP Home Study

Catholic School

Catholic Home School

Indicate Type of Religious Education Attending for 2024-2025(Required)

Parish Religious Education

PREP Home Study

Catholic School

Catholic Home School

Baptism (Church Name, Address, City and State(Required)

Upload Baptismal Certificate(Required)

Drop files here or

Max. file size: 15 MB, Max. files: 4.

Parent/Guardian Last Name (Family Name)(Required)

Last

Parent/Guardians First Names(Required)

Father’s First Name

Parent/Guardians First Names(Required)

Mother’s First Name

Mother's Maiden Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mother's Contact Phone(if none, type in n/a)(Required)

Father's Contact Phone (if none, type in n/a)(Required)

Email(Required)

Student Resides with:(Required)

Program Fee's(Required)

1 Child $80

2 Children $95

Parental/Guardian Consent

Child's Name(Required)

First Last

Child's Name

First Last

Name of Parent or Legal Guardian(Required)

First Last

Name of Parish: St. Anastasia Catholic Church

Name of Program: Sacramental Preparation for First Reconciliation

Dates: October 13, November 17, December 15, 2024 | February 9, March 23, May 4, 2025

Please list any known allergies:(Required)

Physicians Name:

First Last

Physician's Phone(Required)

Consent(Required)

If you would like your child to participate in this event, please read, complete and sign and return this form which includes your consent, as well as a gull release of liability. As a parent or legal guardian, you remaind fully responsible for any acts of the named child during this activity. The undersigned parent, guardian or legal representative hereby consents to the participation of the above-noted child in the event described and further consents to the conditions stated above on participating in this event. For and in consideration of the child being allowed to participate in this event, and other valuable consideration, the undersigned parent, guardian or legal representative, on behalf of the child and the child’s parents, personal representatives, assigns, heirs, and next of kin, does hereby release and hold harmless St. Anastasia Parish, the Dicoese of St. Augustine, Bishop Erik Pohlmeier, as Bishop of the Diocese of St. Augustine, a corporation sole, Bishop Erik Pohlmeier, individually, the above-noted parish, and employees and agents of said parties engaged in this particular event, their personal representatives or assigns from any loss or damage on account of any injury to the person or the personal property, of the child, or death, caused by negligence or otherwise, while the child is engaged in the above-stated event or in transportation to and from said event. The undersigned expressly agrees that this release, waver and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida, and that if any portion of this Agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned parent, guardian, legal representative further acknowledges that he/she is authorized to enter this Agreement on behalf of the child, and the child’s parents, personal representatives, assigns, heirs, and next of kin.

The undersigned parent, guardian or legal representative hereby consents to the participation of the above-noted child in the event described and further consents to the conditions stated above on participating in this event.

For and in consideration of the child being allowed to participate in this event, and other valuable consideration, the undersigned parent, guardian or legal representative, on behalf of the child and the child’s parents, personal representatives, assigns, heirs, and next of kin, does hereby release and hold harmless St. Anastasia Parish, the Dicoese of St. Augustine, Bishop Erik Pohlmeier, as Bishop of the Diocese of St. Augustine, a corporation sole, Bishop Erik Pohlmeier, individually, the above-noted parish, and employees and agents of said parties engaged in this particular event, their personal representatives or assigns from any loss or damage on account of any injury to the person or the personal property, of the child, or death, caused by negligence or otherwise, while the child is engaged in the above-stated event or in transportation to and from said event. The undersigned expressly agrees that this release, waver and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida, and that if any portion of this Agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

The undersigned parent, guardian, legal representative further acknowledges that he/she is authorized to enter this Agreement on behalf of the child, and the child’s parents, personal representatives, assigns, heirs, and next of kin.

Diocese of St. Augustine Child Photography Release Form

Electronic Signature(Required)