SMA 1st Reconciliation and 1st Communion Registration

INSTRUCTIONS

REGISTRATION — 2025-2026

Applications must be completed and submitted by no later than October 23, 2025.

Child First Name

Child Middle Name

Child Last Name

Date of Birth

Place of Birth (City/State)

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

Email Address:

Home Phone Number:

25% of survey complete.