Sacraments Only Form

- Please fill out form BELOW, ONLY IF CHILD NEEDS TO RECEIVE HIS or HER SACRAMENTS.
  Child MUST be 7 years old or above.
  Required: Parents must provide copies of birth certificate and baptism certificate by Sunday, October 4th, 2026
- Sacraments: One Per Child Grades 2nd -12th
  
  This form is not accepting responses at this time.
  
  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother Name, Phone, Email REQUIRED Please fill out this field. Please enter valid data.
  
  Father Name, Phone, Email REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Child lives with Parents Mother Father Guardian
  
  Emergency Contact Name and Relation to Child REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Child Info First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Grade and Age REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies/Special Needs REQUIRED Please fill out this field. Please enter valid data.
  
  Doctor/Hospital REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS
  
  Child needs (check all that apply) REQUIRED Baptism First Holy Communion (FHC) Confirmation Please fill out this field.
  
  Date of Baptism (Only if child is receiving FHC/Confirmation) Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  City, country, state of church Please enter valid data.
  
  Submit

ST. JUDE CATHOLIC CHURCH

Kapolei, Hawaii

Sacraments Only Form

Sacraments: One Per Child Grades 2nd -12th

SACRAMENTS