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2023-24 Sacrament Registration

Fees for:First Communion $50 Confirmation $50 (No Fees for Baptism)

Attach Baptismal and Birth Certificates for all students

Family Information

Are you a registered member of OLPH Catholic Church??

YES NO

Would you like to register as a member of OLPH Parish?

YES NO

In order to register with our Parish, please click the next link.

Parish Registration

IF "NO", please explain (If you are a member of another Catholic church, we require a letter from your parish giving permission for your child/children to enroll in our program)

Parent or Guadian 1 (First Name, Last Name):*

Relationship to the student(s)*

Your Email*

Your Cell Phone:*

Your Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Religion

Marital Status:

Student(s) Resides with:

Both Parents Mother Father Guardian

Please explain any special custody arrangements of which we should be aware

Family Members in RCIA?

Name and Relationship:

Would you like to list another parent or guardian?

Parent or Guardian 2 (First Name, Last Name):

Relationship

Second Address (if different)

Address Line 1

Address Line 2

City

State

ZIP Code

Cell Phone

Employer

Work Phone

Religion

How many students would you like to register?

Student One Information:

Student one COMPLETE NAME (First, Middle, Last Name):*

My child prefers to be called:

Gender:

Birth Date:*

Name of school:*

School grade 2023-24:

Where did student receive Religious Education last year?

Age (as of 08/15/23):*

Sacraments Received

Has Your Child been baptized?

Please contact the parish office to get information so that we may help you to arrange baptism.

Phone (901) 754-1204

Sacraments completed

Reconciliation (Confession) First Communion Confirmation

Each child must be enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Baptism

First Communion & Reconciliation $50.00 (total)

Confirmation $50.00

Attach BAPTISMAL Certificates

No File Chosen

File uploads may not work on some mobile devices.

Attach BIRTH Certificates

No File Chosen

File uploads may not work on some mobile devices.

The easiest way to do this is to:

Take a picture of the certificate(s) with your cell phone
Email it to yourself
Open your email on this computer
Save the picture to a location you can remember
Then use the "choose file" button to attach it.

Student Two Information:

Student two COMPLETE NAME (First, Middle, Last Name):*

My child prefers to be called:

Gender:

Birth Date:*

Name of school:*

School grade 2023-24:

Where did student receive Religious Education last year?

Age (as of 08/15/23):

Sacraments Received

Has Your Child been baptized?

Please contact the parish office to get information so that we may help you to arrange baptism.

Phone (901)754-1204

Sacraments completed

Reconciliation (Confession) First Communion Confirmation

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are additional fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Baptism

First Communion & Reconciliation $50.00

Confirmation $50.00

Attach BAPTISMAL Certificates

No File Chosen

File uploads may not work on some mobile devices.

Attach BIRTH Certificates

No File Chosen

File uploads may not work on some mobile devices.

Student Three Information:

Student three COMPLETE NAME (First, Middle, Last Name):*

My child prefers to be called:

Gender:

Birth Date:*

Name of school:*

School grade 2023-24:

Where did student receive Religious Education last year?

Age (as of 08/15/23):

Sacraments Received

Has Your Child been baptized?

Please contact the parish office to get information so that we may help you to arrange baptism.

Phone (901)754-1204

Sacraments completed

Reconciliation (Confession) First Communion Confirmation

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are additional fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Baptism

First Communion & Reconciliation $50.00

Confirmation $50.00

Attach BAPTISMAL Certificates

No File Chosen

File uploads may not work on some mobile devices.

Attach BIRTH Certificates

No File Chosen

File uploads may not work on some mobile devices.

Student Four Information:

Student four COMPLETE NAME (First, Middle, Last Name):*

My child prefers to be called:

Gender:

Birth Date:*

Name of school:*

School grade 2023-24:

Where did student receive Religious Education last year?*

Age (as of 08/15/23):

Sacraments Received

Has Your Child been baptized?

Please contact the parish office to get information so that we may help you to arrange baptism.

Phone (901)754-1204

Sacraments completed

Reconciliation (Confession) First Communion Confirmation

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are additional fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Baptism

First Communion & Reconciliation $50.00

Confirmation $50.00

Attach BAPTISMAL Certificates

No File Chosen

File uploads may not work on some mobile devices.

Attach BIRTH Certificates

No File Chosen

File uploads may not work on some mobile devices.

Student Five Information:

Student five COMPLETE NAME (First, Middle, Last Name):*

My child prefers to be called:

Gender:

School grade 2023-24:

Name of school:*

Birth Date:*

Where did student receive Religious Education last year?*

Age (as of 08/15/23):

Sacraments Received

Has Your Child been baptized?

Please contact the parish office to get information so that we may help you to arrange baptism.

Phone (901)754-1204

Sacraments completed - Copy

Reconciliation (Confession) First Communion Confirmation

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are additional fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Baptism

First Communion & Reconciliation $50.00

Confirmation $50.00

Attach BAPTISMAL Certificates

No File Chosen

File uploads may not work on some mobile devices.

Attach BIRTH Certificates

No File Chosen

File uploads may not work on some mobile devices.

Emergency Information

Emergency Contact Name*

Emergency Contact Phone *

Second Emergency Contact Name*

Second Emergency Contact Phone *

Release of Responsibility

I authorize the OLPH Staff to summon emergency medical treatment in the event my child (children) becomes seriously ill or injured, and I further release OLPH Staff and the Diocese of Memphis from any and all liability and waive any claims against them in regard to any accident or injury by participation in any activities of an OLPH program.
My signature gives OLPH Church permission to photograph or videotape my child at OLPH Church. This photo may be published in the newspaper, church website or weekly bulletin. *(If not,please attach your decline in writing.)

By checking this box I agree to the terms above*

I agree

Signature*

[clear]

Use your mouse or finger to draw your signature above

Payment Total $

Payment Options*

Payment Total - Cash/Check $

Please bring the payment to the OLPH Church Office

Credit Card

2023-24 Sacrament Registration

***Attach Baptismal and Birth Certificates for all students***

Family Information

Student One Information:

Sacraments Received

Each child must be enrolled in a Catholic school in order to receive a sacrament this year.Please note there are fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Student Two Information:

Sacraments Received

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.Please note there are additional fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Student Three Information:

Sacraments Received

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.Please note there are additional fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Student Four Information:

Sacraments Received

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.Please note there are additional fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Student Five Information:

Sacraments Received

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.Please note there are additional fees for First Communion ($50) and Confirmation ($50).

MY CHILD WILL RECEIVE THE FOLLOWING SACRAMENT(S) THIS SCHOOL YEAR (2023-2024):

Emergency Information

Release of Responsibility

Attach Baptismal and Birth Certificates for all students

Each child must be enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are fees for First Communion ($50) and Confirmation ($50).

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are additional fees for First Communion ($50) and Confirmation ($50).

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are additional fees for First Communion ($50) and Confirmation ($50).

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are additional fees for First Communion ($50) and Confirmation ($50).

Each child must have been enrolled in a Catholic school in order to receive a sacrament this year.
Please note there are additional fees for First Communion ($50) and Confirmation ($50).