Sacramental Preparation Form

Child's First Name

Child's Middle Name

Child's Last Name

Date of Birth

Place of Birth:

Child's Grade in School

Child's School Attending

Has your child received Baptism?

If yes: Name of City and Church

If your child was not baptized at SFX, please provide a copy of your child's baptismal certificate

What Sacrament are you registering to receive?

Reconciliation (usually 2nd Grade)

First Communion (usually 2nd Grade)

Confirmation (6th, 7th, or 8th grade)

Please provide additional information that will help us best serve your child and family.

Father's First Name

Father's Last Name

Father's email

Father's Phone:

Father's Religion

Is Father Primary Contact?

Mother's First Name

Mother's Last Name

Mother's Email

Mother's Phone:

Is Mother Primary Contact

Media Release: I hereby consent to my child being photographed and/or videotaped by St. Francis Xavier parish staff and/or representatives. Any information or images obtained from those activities may be reproduced by the parish and/or public media for use in advertising, publicity, social media, or education activities, including but not limited to Parish publications and/or videos, print and television and Parish websites. I hereby waive any claims I may have and release the Parish and its employees from any liability or claims arising out of such activities.

Yes (I agree to waive, children may have photos taken)

No (I do not agree, children may not have photos taken))

Please email Children's Religious Coordinator Suzy Meinzenbach with any questions at smeinzenbach@sfx-kc.org

Office Hours

Monday-Thursday 9:00 am - 5:00 pm

Friday 9:00 am - 3:00 pm

Address

1001 E 52nd Street

Kansas City, MO 64110

816-523-5115