Address:       

DOB:    School   Class:

Fathers name and/or Mothers Name:  

Daytime Phone No: (name)

Did your child receive confirmation at Toukley parish in 2002? Yes No (If yes skip to Group leader question)

If NO - Parish of Baptism Date of Baptism:

Mothers Maiden Surname:

If YES are you willing to volunteer as a Group Leader for the program and to attend a workshop 

on 20th or 22nd of May? Yes No Your Name:  

Daytime contact No:

PLEASE NOMINATE WHERE YOUR CHILD WILL RECEIVE FIRST RECONCILIATION (SELECT ONE ONLY)

Applications for enrolment will not be taken after 15th May 2003. (except in extreme circumstances)

PLEASE DOUBLE CHECK THAT YOU HAVE FULLY COMPLETED THIS ENROLMENT FORM AND, IF NECESSARY, ATTACH COPY OF BAPTISMAL CERTIFICATE

Alison Newell

Sacramental Coordinator