Sacramental Prep Registration

This registration form is for Sacramental Prep for:

1st Reconciliation & 1st Holy Communion (2nd Grade)
Confirmation (9th through 12th Grade)

Family Information

Is your family currently registered at St. Pius X? REQUIRED YES NO Please fill out this field.

NOTE: If your family is not registered at St. Pius X, you will need to register with the parish or get written permission from your pastor before proceeding with sacramental prep at St. Pius X.

Father/Guardian Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name REQUIRED Please fill out this field. Please enter valid data.

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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Mother/Guardian Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name REQUIRED Please fill out this field. Please enter valid data.

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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Child/Youth Information

Please select the number of children you wish to register, and then complete the appropriate info for each child. REQUIRED Please fill out this field.
Child/Youth 1
- Name - As it appears on their Baptismal Certificate
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Which sacraments are you enrolling your child for? REQUIRED 1st Reconciliation/1st Holy Communion Confirmation Please fill out this field.
- General Info
- Birthday 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.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Info
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Name of Church REQUIRED Please fill out this field. Please enter valid data.
- Church Location (City, State) REQUIRED Please fill out this field. Please enter valid data.
- Is the church where your child was baptized a Catholic church? REQUIRED YES NO Please fill out this field.
Child/Youth 2
- Name - As it appears on their Baptismal Certificate
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Which sacraments are you enrolling your child for? REQUIRED 1st Reconciliation/1st Holy Communion Confirmation Please fill out this field.
- General Info
- Birthday 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.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Info
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Name of Church REQUIRED Please fill out this field. Please enter valid data.
- Church Location (City, State) REQUIRED Please fill out this field. Please enter valid data.
- Is the church where your child was baptized a Catholic church? REQUIRED YES NO Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.
Child/Youth 3
- Name - As it appears on their Baptismal Certificate
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Which sacraments are you enrolling your child for? REQUIRED 1st Reconciliation/1st Holy Communion Confirmation Please fill out this field.
- General Info
- Birthday 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.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Info
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Name of Church REQUIRED Please fill out this field. Please enter valid data.
- Church Location (City, State) REQUIRED Please fill out this field. Please enter valid data.
- Is the church where your child was baptized a Catholic church? REQUIRED YES NO Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.
Child/Youth 4
- Name - As it appears on their Baptismal Certificate
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Which sacraments are you enrolling your child for? REQUIRED 1st Reconciliation/1st Holy Communion Confirmation Please fill out this field.
- General Info
- Birthday 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.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Info
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Name of Church REQUIRED Please fill out this field. Please enter valid data.
- Church Location (City, State) REQUIRED Please fill out this field. Please enter valid data.
- Is the church where your child was baptized a Catholic church? REQUIRED YES NO Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.
Child/Youth 5
- Name - As it appears on their Baptismal Certificate
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Which sacraments are you enrolling your child for? REQUIRED 1st Reconciliation/1st Holy Communion Confirmation Please fill out this field.
- General Info
- Birthday 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.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Info
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Name of Church REQUIRED Please fill out this field. Please enter valid data.
- Church Location (City, State) REQUIRED Please fill out this field. Please enter valid data.
- Is the church where your child was baptized a Catholic church? REQUIRED YES NO Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.
Child/Youth 6
- Name - As it appears on their Baptismal Certificate
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Which sacraments are you enrolling your child for? REQUIRED 1st Reconciliation/1st Holy Communion Confirmation Please fill out this field.
- General Info
- Birthday 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.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Info
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Name of Church REQUIRED Please fill out this field. Please enter valid data.
- Church Location (City, State) REQUIRED Please fill out this field. Please enter valid data.
- Is the church where your child was baptized a Catholic church? REQUIRED YES NO Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.

St. Pius X CATHOLIC Church

Coeur d'Alene, ID