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Revised 6/17/14 LL Sac Req Form 2014-15.

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Mission San Luis Rey Parish and OMMS
SACRAMENT REQUEST FORM
2014-2015 Semester

I am requesting 1
st
Reconciliation (Confession) and 1
st
Eucharist (Communion) in 2015.

Child #1 Baptized Catholic (circle one). Yes No MSLRP or OMMS (circle one)

Child #1 First & Last Name (please print) Grade (as of Sept. 2014) and D.O.B.


________________________________________ _________________________________



Child #2 Baptized Catholic (circle one). Yes No MSLRP or OMMS (circle one)

Child #2 First & Last Name (please print) Grade (as of Sept. 2014) and D.O.B.


________________________________________ _________________________________


Fathers Name: ____________________________________ Phone #: _________________

Mothers Name: ____________________________________ Phone #: _________________

Home Address: _______________________________________________________________

Email address: _______________________________________________________________

Parish Envelope Number (PDS or Parish ID number) _____________________________

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


Signature: ______________________________________________Date: _________________

Note: Signature must be that of the parent or legal guardian of the above listed child.

To process your request, please return this form with a copy of your childs Baptismal
Certificate and a $20.00 certificate fee no later than Oct. 31 to the Faith Formation Office
located on the second floor, open Wednesday thru Saturday from 9:00 AM to 4:00 PM.

Parent and child will be required to attend specific classes in preparation for this wonderful
event. The schedule will be published on our website, is available at the Religious Education
Office and is in the Parent Handbook. MSLRP Religious Education Department has the
responsibility of preparing students and parents for the reception of sacraments as well as
the processing of all sacramental documents. All certificates will be mailed to the address
on record approximately one month after the event. Blessings to all, Larry LaGrasta MSLRP
Religious Education Coordinator, 760-547-0712 or llagrasta@sanluisreyparish.org

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