Lumen Christi Catholic Parish :: Diocese of Wollongong ::Church Booking Request Form

Section 1 - Candidate details

Please ensure you have a valid copy of your child's baptism certificate before beginning. If you do not have a valid copy of your child's baptism certificate, you will need to obtain a copy from the church/parish that the baptism was performed.

Candidates Surname(*)

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Candidates First Name(*)

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Date format required: dd-mm-yyyy
Please use date picker ... below to choose date

Date of Birth(*)

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Age (whole years)(*)

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In order for your child to receive the Sacraments they must have been baptised or received into the Catholic Church.

Parish and Church of Baptism or Reception(*)

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Date format required: dd-mm-yyyy
Please use date picker ... below to choose date

Date of Baptism or Reception into Catholic Church(*)

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Upload Baptism Certificate (*)

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Address(*)

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Suburb(*)

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State(*)

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Postcode(*)

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Please indicate if your child has any learning needs so we can cater for them:

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My child attends(*)

St Brigid's Catholic Primary School, Gwynneville

Good Samaritan Catholic Primary School, Fairy Meadow

Local State/Private/Other School

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Name and Location of Local State/Private/Other School(*)

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Grade(*)

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Mother's Details

Mothers First Name(*)

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Mother's Surname(*)

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Mothers Maiden Name(*)

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Mother's Phone(*)

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Mother's Email (*)

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Father's Details

Fathers First Name(*)

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Fathers Surname(*)

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Father's Phone(*)

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Father's Email(*)

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Section 2 - Session details

A compulsory parent information session is conducted with the Parish Administrator.

Parents/Caregivers must attend the first information session:

St Brigid's(*)

Tuesday 29th April 2025, 6.30pm St Brigid's School Hall (2 Vickery St, Gwynneville) Invalid Input

Good Samaritan(*)

Wednesday 30th April 2025, 6.30pm Good Samaritan School Hall (48 McGrath St, Fairy Meadow) Invalid Input

Local State School/Other(*)

Monday 28th April 2025, 6.30pm St Francis Xavier Cathedral Wollongong (36 Harbour St, Wollongong) Invalid Input

I/we (named below) by submitting this form agree to enrol our daughter/son in the Lumen Christi Parish Confirmation Sacramental Programme for 2025.

Name(s) of person(s) submitting this form(*)

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Relationship to child being enrolled (*)

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Signature(*)

Sign Above

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Section 3 - Payment Details

Confirmation Donation

Confirmation Donation - 45.00 AUD

Total(*)

0.00 AUD Invalid Input

Credit card gateway

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Card holder name(*)

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Card number(*)

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Exp Month(*)

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Exp Year(*)

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CVC code [3 digits on back](*)

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St Brigid's School Gwynneville
Phone: 4229 1969 Email: info_stbrigids@dow.catholic.edu.au

Good Samaritan School, Fairy Meadow
Phone: 4226 6577 Email: info_goodsamaritan@dow.catholic.edu.au

Lisa de Paiva
Phone: 4211 0506 Email: lisa.depaiva@dow.org.au

Confirmation - Sacramental Program Enrolment

Section 1 - Candidate details

Mother's Details

Father's Details

Section 2 - Session details

Section 3 - Payment Details