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First Holy Communion Registration

St. Joseph & St. Francis Xavier

This form must be filled out completely with a copy of the child's Baptism Certificate provided.
Please include the Certificate of Baptism even if the Baptism occured at
St. Joseph or St. Francis Xavier.

Last, First, Middle

City, State

Baptism Information

Street Address, City, State, ZIP

Parent Information

Last, First, Middle Initial

Last, First, Middle Initial

Street Address, City, State, ZIP

Only fill out the below section if the child is living with a legal guardian other than their father or mother.
Legal Guardian Information

Proof of Baptism is required. If you are unable to provide a digital copy, please contact the Parish office.

St. Joseph Catholic Church

800 West Stanton St., 
Roseburg, OR 97471
541-673-5157

St. Francis Xavier Church

323 N Comstock Ave., 
Sutherlin, OR 97479
541-673-5157

Contact Us

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