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Register for Sacraments, Only

- Learn

First Communion & Confirmation Registration
for students who attend Catholic Schools

Use this form if your child attends a Catholic School.

Our Lady of Mercy Church
Office of Religious Formation
9200 Kentsdale Drive, Potomac, MD 20854
301.365.1318
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- Second Grade Catholic school students who are parishioners at Our Lady of Mercy Catholic Church are invited to register to receive the Sacrament of First Communion at Our Lady of Mercy.
  
  Eighth Grade Catholic school students who are parishioners at Our Lady of Mercy Catholic Church are invited to register to receive the Sacrament of Confirmation at Mercy.
- Main Contact Email Address REQUIRED Please fill out this field. Please enter an email address.
- Are you registered as a parishioner with Our Lady of Mercy Church? REQUIRED Yes No Not Sure Please fill out this field.
- You must be a registered parishioner of Our Lady of Mercy Catholic Church to receive Sacraments at OLOM. If you don't know if you're a registered parishioner of OLOM, please contact Kelly Athey at 301-365-1415 to inquire. If you would like to register to be a parishioner of OLOM, please visit our website at www.olom.org and click on "Registration" under the "About" tab.
  
  Please note - you can only be registered with one parish. If you're registered with another parish, you must remove your registration from that parish in order to register with OLOM.
- Family Name: REQUIRED Please fill out this field. Please enter valid data.
- Home Phone Number: REQUIRED Please fill out this field. Please enter a phone number.
- Street 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.
- Parent Information:
- Mother's Full Name (First, Maiden, Last): REQUIRED Please fill out this field. Please enter valid data.
- Mother's Phone Number: REQUIRED Please fill out this field. Please enter a phone number.
- Mother's Email: REQUIRED Please fill out this field. Please enter an email address.
- Mother's Religion: Please enter valid data.
- If Catholic, Sacraments Mother has received in the Catholic Church Baptism First Communion Confirmation Marriage I am not Catholic
- Father's Name: Please enter valid data.
- Father's Phone Number: Please enter a phone number.
- Father's Email: Please enter an email address.
- Father's Religion: Please enter valid data.
- If Catholic, Sacraments Father has received in the Catholic Church Baptism First Communion Confirmation Marriage I am not Catholic
- Number of Children to Register REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name/Nickname Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  SACRAMENTS RECEIVED
  
  Sacraments the student has already received in the Catholic Church REQUIRED Baptism First Holy Communion Please fill out this field.
  
  Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Church Name: Please enter valid data.
  
  Baptism Church Address: Please enter valid data.
  
  A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Anne Walker at awalker@olom.org for more information and instructions for completing registration.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
  
  For which Sacraments are you registering this child? REQUIRED 100 – First Holy Communion 100 – Confirmation Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name/Nickname Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  SACRAMENTS RECEIVED
  
  Sacraments the student has already received in the Catholic Church REQUIRED Baptism First Holy Communion Please fill out this field.
  
  Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Church Name: Please enter valid data.
  
  Baptism Church Address: Please enter valid data.
  
  A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Anne Walker at awalker@olom.org for more information and instructions for completing registration.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
  
  For which Sacraments are you registering this child? REQUIRED 100 – First Holy Communion 100 – Confirmation Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name/Nickname Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  SACRAMENTS RECEIVED
  
  Sacraments the student has already received in the Catholic Church REQUIRED Baptism First Holy Communion Please fill out this field.
  
  Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Church Name: Please enter valid data.
  
  Baptism Church Address: Please enter valid data.
  
  A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Anne Walker at awalker@olom.org for more information and instructions for completing registration.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
  
  For which Sacraments are you registering this child? REQUIRED 100 – First Holy Communion 100 – Confirmation Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name/Nickname Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  SACRAMENTS RECEIVED
  
  Sacraments the student has already received in the Catholic Church REQUIRED Baptism First Holy Communion Please fill out this field.
  
  Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Church Name: Please enter valid data.
  
  Baptism Church Address: Please enter valid data.
  
  A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Anne Walker at awalker@olom.org for more information and instructions for completing registration.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
  
  For which Sacraments are you registering this child? REQUIRED 100 – First Holy Communion 100 – Confirmation Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name/Nickname Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  SACRAMENTS RECEIVED
  
  Sacraments the student has already received in the Catholic Church REQUIRED Baptism First Holy Communion Please fill out this field.
  
  Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Church Name: Please enter valid data.
  
  Baptism Church Address: Please enter valid data.
  
  A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Anne Walker at awalker@olom.org for more information and instructions for completing registration.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
  
  For which Sacraments are you registering this child? REQUIRED 100 – First Holy Communion 100 – Confirmation Please fill out this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name/Nickname Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  SACRAMENTS RECEIVED
  
  Sacraments the student has already received in the Catholic Church REQUIRED Baptism First Holy Communion Please fill out this field.
  
  Baptism Date: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Church Name: Please enter valid data.
  
  Baptism Church Address: Please enter valid data.
  
  A copy of your child's Baptismal Certificate is required to complete your registration. Please email a copy of the Baptismal Certificate to baptismals@olom.org. Please note: a copy of your child's Baptismal Certificate is required even if your child was baptized at Our Lady of Mercy Church.
  
  If your child has not been baptized in the Catholic Church, please contact Anne Walker at awalker@olom.org for more information and instructions for completing registration.
  
  First Communion REQUIRED Yes No Please fill out this field.
  
  If your child has received First Communion, please list the year and name of the Church where this Sacrament was received: Please enter valid data.
  
  For which Sacraments are you registering this child? REQUIRED 100 – First Holy Communion 100 – Confirmation Please fill out this field.
- Can Our Lady of Mercy assist you with any other needs?
Total:

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