First Holy Communion Registration Form 2021 First Holy Communion Registration Form 2021 Please select how many children are you registering123Is your child a Baptised Catholic?*YesNoIf your child was Baptised outside of our parish, please provide a copy of the baptismal certificate. If you are using a mobile device to register, you can take a photo of the document and select it from your photo library. If you are using a computer you can either scan the document or take a photo on your phone , email it to yourself then use the 'Choose file' button below to attach or email a copy separately.Please upload/provide a copy of Child's Catholic Baptismal CertificateHas your Child received Confirmation?YesNoPreferred parent contactMotherFatherYour Name*Email address*Contact Number*1ST CHILD'S DETAILS (AS SHOWN ON BIRTH CERTIFICATE)Is the childMaleFemaleFirst nameMiddle name(s)Surname (or family name)Date of birth Date Format: MM slash DD slash YYYY Town/city of birthState of birthCountry of BirthAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweSchool - the child currently attendsHas the child received ReconcilliationYesNo2ND CHILD'S DETAILS (AS SHOWN ON BIRTH CERTIFICATE)Is the childMaleFemaleFirst nameMiddle name(s)Surname (or family name)Date of birth Date Format: MM slash DD slash YYYY Town/city of birthState of birthCountry of BirthAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweSchool - the child currently attendsHas the child received ReconcilliationYesNo3RD CHILD'S DETAILS (AS SHOWN ON BIRTH CERTIFICATE)Is the childMaleFemaleFirst nameMiddle name(s)Surname (or family name)Date of birth Date Format: MM slash DD slash YYYY Town/city of birthState of birthCountry of BirthAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweSchool - the child currently attendsHas the child received ReconcilliationYesNoFAMILY LAW MATTERSAre the child’s parents currently?*MarriedDivorcedSeparatedNot MarriedAre there any court orders relating to the child and either parent about Residence arrangementsYesNoTime spent with either parentYesNoPlease upload/provide copies of all such ordersPlease download the following file, complete it and return to the Parish office.Please download the following file, complete it and return to the Parish office. FAMILY LAW MATTERSAre the child’s parents currently?*MarriedDivorcedSeparatedNot MarriedAre there any court orders relating to the child and either parent about Residence arrangementsYesNoTime spent with either parentYesNoPlease upload/provide copies of all such ordersPlease download the following file, complete it and return to the Parish office.Please download the following file, complete it and return to the Parish office. MOTHER'S DETAILFirst NameTitleSurname (or family name)Middle name(s)Preferred nameMaiden nameMother's religionCONTACT DETAILSMobile Number*Email address*Work Number*Home Number*ADDRESS DETAILSUnit numberStreet numberStreet nameSuburb/townStatePostcodeFATHER'S DETAILSFirst NameTitleSurname (or Family name)Middle name(s)Father's religionPreferred nameCONTACT DETAILSMobile Number*Email address Work NumberHome NumberADDRESS DETAILSUnit numberStreet NumberSuburb/townStatePostcodePLEASE INDICATE WHICH SESSION YOU WILL BE ATTENDING (PLEASE CHOOSE ONE OPTION FROM EACH SECTION)*AN ESSENTIAL PART OF THE PREPARATION FOR FIRST HOLY COMMUNION IS THE PARTICIPATION OF THE CHILD IN SUNDAY MASS, THEREFORE THE CHILDREN ARE REQUIRED TO ATTEND SUNDAY MASSES DURING THIS PROGRAM.First Meeting : parents information at Mary Immaculate church meeting roomFirst Meeting - Sunday, 2nd May @ 10:15am (after 9am Mass) in the Parish meeting room *YesNoFirst Meeting - Thursday, 6th May @ 4pm Mary Immaculate ChurchYesNoRite of Enrolment Saturday, 8th May 4:30pm @ Mary Immaculate churchYesNoSunday, 9th May 9am @ Mary Immaculate churchYesNoSunday, 9th May 5:30pm @ Mary Immaculate churchYesNoSecond Meeting: Parish meeting rooms at Mary Immaculate ChurchSunday, 23rd May 10:15am @ Mary Immaculate churchYesNoThursday, 27th May 4pm @ Mary Immaculate churchYesNo2nd Rite of ReconciliationMonday, 31st May @ 4:00pm Mary Immaculate Church orYesNoTuesday, 1st June @10am Guardian Angels SchoolYesNoTuesday, 1st June @ 4:00pm Mary Immaculate ChurchYesNoFirst Holy Communion Practice Thursday, 3rd June @ 4:00pm Mary Immaculate ChurchYesNo(4pm Practice is for 4:30pm, Saturday 5th of June First Holy Communion Celebration).Thursday, 3rd June @ 6:00pm Mary Immaculate ChurchYesNo(6pm Practice is for 5:30pm, Sunday 6th June First Holy Communion Celebration).First Holy Communion at Mary Immaculate ChurchSaturday, 5th Of June 4:30pm Mary Immaculate ChurchYesNoSunday, 6th Of June 5:30pm Mary Immaculate ChurchYesNoA CONTRIBUTION IS PAYABLE TO HELP OFFSET PROGRAM EXPENSES AND TO SUPPORT THE WORK AND THE MISSION OF OUR PARISH. tHE CONTRIBUTION FOR THIS PROGRAM IS $60 FOR ONE CHILD OR $90 FOR 2 CHILDREN OR $120 FOR 3 OR MORE CHILDREN.Contribution for:*1 Child2 Children3 or more ChildrenTotal $ 0.00 Payment Method*Credit CardBank TransferEFTPOS / CASHMethod of Contribution : Credit card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Bank Transfer : BSB: 064 786, A/C: 206170103, A/C Name: Direct Credit Payments, REF: FHC2019: Last Name and First Name of Child. Please email a copy of the Bank Transaction Confirmation to Dalorash@scp.org.auEftpos or Cash contributions can be processed in the office - 31 Edmund Rice, Ashmore, 4214PermissionDo you give permission for the names of your child and parents to be included in our parish newsletter on the day of First Holy Communion ?YesNoDo you give permission for photographs of the First Holy Communion to be used in the parish media?YesNoDetails of the Archdiocese of Brisbane Privacy policy may be found on our parish websitehttps://brisbanecatholic.org.au/contact/ Please read below the important information about the Privacy policy. Privacy collection statement The parishes, schools and agencies of the Archdiocese of Brisbane (we, us or our) may collect, use and disclose personal information about you. We collect personal information directly from you and may also collect personal information passively through our website. We collect your personal information to fulfil the emission and directions of our organization, to administer the sacraments and provide pastoral care to you, to provide you with other services and products you are seeking, to communicate with you about the services and products we offer, to solicit donations and to comply with our legal and regulatory requirements. If the personal information you provide is incomplete or inaccurate, we may not be able to provide you with the services or products you seek. We may disclose personal information about you to our parishes, schools and agencies and service providers who assist us in operating our organization. Our Privacy Policy (available on our website or on request) sets out how you can access and ask for correction of your personal information, how you can complain about privacy-related matters and how we respond to complaints. Contact details: Privacy Officer, GPO Box 282, Brisbane, Queensland, 4001 Email: privacyofficer@bne.catholic.net.au Telephone: + 61 7 3324 3579
