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Dubuque Area East Pastorate Sacramental Preparation

- Sacraments

Please submit the following information to register your student for First Reconciliation/First Communion Preparation.

The program begins on Wednesday, October 7, 2026.
See the full schedule below:
2026-2027 Sacramental Preparation Schedule
First Reconciliation/First Communion
Candidate Registration
The maximum number of form submissions has been reached. This form is currently not available.
- Student Name* REQUIRED Please fill out this field. Please enter valid data.
- *Please enter the student's name as you would like it to appear on their First Communion certificate. You may include middle name if you would like.
- My student goes by... (nickname) Please enter valid data.
- Student's Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Student's Place of Birth (City and State) REQUIRED Please fill out this field. Please enter valid data.
- Baptism Date REQUIRED Please fill out this field. Please enter valid data.
- Baptism Location & Parish REQUIRED Please fill out this field. Please enter valid data.
- If not baptized at a parish within the Dubuque Area East Pastorate (St. Catherine, St. Columbkille, St. Joseph, Key West, Holy Family New Melleray, Holy Spirit, Cathedral of St. Raphael and St. Patrick), you must acquire and provide a Baptismal record from the Parish where the Baptism occurred issued within the last six months. Please mail to:
  
  Dubuque Area East Pastorate
  ATTN: FF Sacramental Records
  1240 Rush St.
  Dubuque, IA 52003
- Our family is registered at the following parish: REQUIRED Please fill out this field.
- If other, please indicate which parish: Please enter valid data.
- School Attending for the 2026-2027 School Year REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian 1 First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian 2 First and Last Name 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.
- Parent/Guardian 1 Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- Parent/Guardian 2 Phone Number
  
  Please enter a phone number.
- Please list up to two email addresses you would prefer to receive communications regarding First Reconciliation and First Communion Sacramental Preparation. If two are listed, both will be used.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Optional Second Email Please enter an email address.
- Media Release and Authorization
- I understand that by responding "Yes" I hereby grant authority to Dubuque Area East Pastorate for the use of any videos, photos, or similar items to be used in social media or on a parish web page. REQUIRED
  I understand that by responding "Yes" I hereby grant authority to St. Columbkille for the use of any videos, photos, or similar items to be used in social media or on a parish web page.
  Yes No Please fill out this field.
- A Parental/Consent Form & Liability Waiver must be completed for each individual child.
  
  I agree to fill out the Parental/Consent Form & Liability Waiver at the link below and deliver or mail to:
  
  Dubuque Area East Pastorate
  Attn: Eucharist Coordinator
  1240 Rush St.
  Dubuque, IA 52003
- 26/27 Parental/Guardian Consent Form & Liability Waiver
- I agree to fill out the Parental/Consent Form & Liability REQUIRED I Agree Please fill out this field.
- You may pay online by selecting the fee below, or by cash/check (payable to St. Columbkille Catholic Church). Cash/checks can be delivered to the parish office at 1240 Rush St., Dubuque, IA 52003, ATTN: Sacramental Preparation.
- Registration Fee
- The registration fee is $40 and includes both sacraments. You may pay online by selecting the fee below, pay cash at a Dubuque Area East Pastorate parish office, or write a check payable to Dubuque Area East Pastorate and mail to:
  
  Dubuque Area East Pastorate
  Attn: Sacramental Preparation
  1240 Rush St.
  Dubuque, IA 52003
- Online Registration Payment Option
- Any Additional Information You Feel Might Be Helpful
Total:

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Contact Us
- Sr. Kim Tuyen Nguyen, LHC
  
  Co-Coordinator of Liturgical & Sacramental Formation
  
  563-583-9117
  k.nguyendbqarch.org

Dubuque Area East Pastorate Sacramental Preparation

Registration Fee