Sacrament Payment

Child's Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

School Child Attends REQUIRED Please fill out this field. Please enter valid data.

Grade REQUIRED Please fill out this field.

Church of Baptism REQUIRED Please fill out this field. Please enter valid data.

Church 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.

Date of Baptism REQUIRED Please fill out this field. Please enter a date.

Sacrament Needed This Year REQUIRED 100.0 – First Reconciliation & First Communion (2nd Grade) 100.0 – Confirmation (8th Grade) Please fill out this field.

Sacrament Payment

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