Saint Patrick Catholic Church
231 S. Beaver Street York Pa

(717) 848-2007

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First Reconciliation & Eucharist Registration

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St. Patrick & Sacred Heart Parishes
First Reconciliation/First Eucharist
Registration Form
Due date: TBD
The fee $50 (which covers materials and retreats costs) will be due when registering for the sacraments. You can bring in, or mail in to the Faith Formation Office (in the Parish Office building), a check made out to St. Patrick Church, with “First Eucharist” written on the subject line. Families with financial hardships may set up payment schedules, and no candidate will be turned away due to financial need.
If you have any questions or concerns, please feel free to call the Faith Formation Office at 717-848-2700, ext. 115, or email Karen at: [email protected]
Sacraments events: Children, with at least one parent, are expected to attend the First Reconciliation and First Communion retreats listed on each sacrament calendar, and complete the four at-home lessons found on Catholic Brain.

Please bring in a copy of the candidate’s Baptismal Certificate to the parish office in an envelope labeled “Faith Formation Office”, or you may email it to: [email protected]
FIRST Reconciliation & EUCHARIST REGISTRATION
The maximum number of form submissions has been reached. This form is currently not available.
- Parish Name REQUIRED St. Patrick Sacred Heart Please fill out this field.
- Child's Information:
- Name of Child (First, Middle, Last) & Nick Name
  
  First REQUIRED Please fill out this field. Please enter valid data.
  
  Middle REQUIRED Please fill out this field. Please enter valid data.
  
  Last REQUIRED Please fill out this field. Please enter valid data.
  
  Nick Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Birth Information
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth (City, State) REQUIRED Please fill out this field. Please enter valid data.
- Child's Baptism Information
  
  Baptismal Date REQUIRED Please fill out this field. Please enter a date.
  
  Baptismal Parish REQUIRED Please fill out this field. Please enter valid data.
  
  Complete Baptismal Parish Address: (Street, City, State, Zip) Please enter valid data.
- Prerequisite Religious or Parochial Education:
  
  Grade and School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Is candidate enrolled in (select one): REQUIRED A parochial school St. Patrick’s Faith Formation Sacred Heart Faith Formation Please fill out this field.
- Allergies & special needs: please indicate any allergies, food allergies, or special needs of the candidate: REQUIRED Please fill out this field.
- Parent Information:
- Father's Information
  
  Father's Full Name: (First, Middle, and Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Father's Cell Phone Number Maximum 20 characters Please enter a phone number.
- Mother's Information
  
  Mother's Full Name: (First, Middle, MAIDEN, and Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Mother's Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Home Street 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.
- Parent Email REQUIRED Please fill out this field. Please enter an email address.
- Would a parent be interested in volunteering to assist in sacraments events? REQUIRED Yes No Please fill out this field.
- ----------------------------------------------------------------------------------------------------------
- If there is a parent living outside the home that you would like to be informed about this program, please enter 1 and then complete sub-fields:
- Parent Outside Home to be notified REQUIRED Please fill out this field.
  
  Parent Member 1
  
  Parent Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
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First Reconciliation & Eucharist Registration

If there is a parent living outside the home that you would like to be informed about this program, please enter 1 and then complete sub-fields: