“Old Mission Montessori School”

SACRAMENT REQUEST FORM

2011-2012 Semester
st st
I am requesting 1 Reconciliation (Confession) and 1 Eucharist (Communion) in May 2012.

My child is a Baptized Catholic (circle one). Yes No

st
1 Child’s Name Grade (as of Sept. 2011) and D.O.B.

____________________________________________ ____________________________________

My child is a Baptized Catholic (circle one). Yes No

nd
2 Child’s Name Grade (as of Sept. 2011) and D.O.B.

____________________________________________ ____________________________________

Father’s Name: ____________________________________ Phone #: _________________

Mother’s Name: ____________________________________ Phone #: _________________

Address: ______________________________________________________________________

Email address: _________________________________________________________________

Registered members of Mission San Luis Rey Parish (please circle). Yes No

Mother is Catholic: Yes No Father is Catholic: Yes No

Signature: ______________________________________________Date: _________________

Signature must be that of the parent or legal guardian of the child. All legal guardians
and/or parents must be contacted prior to sacraments being conferred.

To process your request, please return this forms with a copy of your child’s Baptismal
Certificate and a $25.00 “certificate fee” to the Faith Formation Office, room 258, (2nd floor)
Wednesday thru Friday, 9:00 AM to 5:00 PM, Saturday from 9:00 AM to 4:00 PM.

Both parent and child will be required to attend specific Parent Sacramental Process classes
in preparation for this wonderful event. The schedule will be published on our website, is
available at the Faith Formation Office, or by contacting the program coordinator at the
number/email listed below. MSLRP Faith Formation Department has the responsibility for
processing sacramental documents for our parish school. All certificates will be mailed to
the address on record approximately one month after the event. Blessings, Larry LaGrasta.

Please direct questions or concerns to Larry LaGrasta, MSLRP Religious Education

Coordinator at 760-547-0712 or llagrasta@sanluisreyparish.org
OMMS Sacraments May 2012