St. Patrick Church

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Please complete the following for your son or daughter's First Holy Communion Registration. If you have any questions please feel free to contact us.

Holy Communion Costs

Please select correspondingly

General Cost: (BOYS)

$135.00

General Cost: (GIRLS)

$155.00

Choose A Frequency

Recurring Frequency:

Total: $0.00

Agreement: *

The first installation should be of a minimum of $50.00; the second installment should complete the total cost and must be done no later than Thursday, October 17, 2023.

Personal Information

Child's Name: *

Parent's Name: *

Email: *

Confirm Email: *

Phone Number: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Home Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *