Sacrament Request form for
Baptism, First Reconciliation, First Eucharist, Teen Confirmation
Sacrament Being Requested: Infant Baptism
Non-Infant Baptism
First Reconciliation
First Eucharist
Teen Confirmation
Please note that Adults wishing to be Confirmed would do that through the RCIA Program.
Information on Individual to receive Sacrament:

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Not necessary for Baptismal Candidates:


If not Baptized at St. Thomas More, send a copy of Baptismal Certificate to the Parish Office
Parents' Information
About Your Mother: Mother's Religion:
About Your Father: Father's Religion:
For Baptismal Candidates
Sponsor Information:

Yes     No Have parents attended Baptism Preparation within the last 4 years?
Yes     No Were parents married by a Priest?
If no, would you like Validation information? Yes     No
For First Reconciliation, First Eucharist, or Confirmation Candidates
Has the individual received: Yes     No     Baptism
Yes     No     First Reconciliation
Yes     No     First Eucharist
If individual to receive Sacrament is under 18
Mother's Information: Mother's Religion:


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Father's Information: Father's Religion:


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St. Thomas More Roman Catholic Church
3015 Roundelay Road, Lynchburg, VA 24502-2036
phone: 434.237.5911, fax: 434.237.8854, e-mail: info@stmva.com

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