ST.

CHARLES LWANGA CATHOLIC CHURCH

PHYSICAL ADDRESS POSTAL ADDRESS
1916 BLOCK F Parish priest: Fr. Patrick Dladla O. M.I P. O. BOX 1542
SOSHANGUVE Contact number: 062 846 2157 ROSSLYN
0152 Email: stcharleslwanga1916@gmail.com 0182

CATECHISM REGISTRATION FORM 2024

REGISTRATION FEE: R50

BOOK LANGUAGE
ENGLISH SETSWANA ZULU

Is your child returning to classes from previous year YES / NO

If YES the name of the Catechist of last year: _____________________________________

OR Is it your child’s first time attending classes YES / NO

Surname of Child: ___________________________________________________________________

Full Names of Child: _______________________________________________________________

Date of Birth: ________________________________________________________________________

Has your child been baptised? YES / NO

If “Yes” please state date of baptism: ______________________________________________

(if “Yes” and first time attending classes please attach a copy of the child’s Baptism
certificate to this form if Not baptized please provide copy birth certificate on date of
registration.)

Parish where baptized: ___________________________________________________________________

Has your child attended Catechism elsewhere? YES / NO

(IF “Yes” please provide the name of your previous Parish and a letter of transfer from
that Parish is required on date of registration)

HAS YOUR CHILD RECEIVED THE SACRAMENTS OF:

Reconciliation YES / NO The Eucharist (First Holy Communion) YES / NO

School/Grade: _____________________________________________________________________________
PARENTS DETAILS:
FATHER (Catholic / Non Catholic)
Surname: ___________________________________________________________________________
Full names: ________________________________________________________________________________
Address: ___________________________________________________________________________________
Contact number: __________________________________________________________________________

MOTHER (Catholic / Non Catholic)

Surname: ___________________________________________________________________________
Full names: ________________________________________________________________________________

Address: ___________________________________________________________________________________
Contact number: __________________________________________________________________________

DETAILS OF LEGAL GUARDIAN:

Surname: ___________________________________________________________________________

Full names: ________________________________________________________________________________

Address: ___________________________________________________________________________________

Contact number: ___________________________________________________________________

Relationship to child: _______________________________________ (Catholic / Non Catholic)

Note of the catechist:

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

_______________________ _______________________ _______________________

Father’s signature Mother’s signature Guardians’ signature

_______________________ _______________________
Date of registration Signed at (Place)