O God, in your great Mercy and Love, grant that I may sincerely and thoroughly repent from all my sins, and humbly and devoutly receive your forgiveness through the Sacrament of Reconciliation, and grant this same merciful grace to other poor sinners, especially those most in need of repentance and forgiveness.

Merciful Jesus, I offer you my little prayers and sufferings, united with your great prayers and sufferings on the Cross, for the conversion of sinners. In your great Mercy and Love for all, grant that we may sincerely and thoroughly repent from every sin, and humbly receive your forgiveness in the Sacrament of Reconciliation.

Lord Jesus Christ, by your merciful prayers, sufferings and death on the Cross, grant that all those who have fallen away from the fullness of faith may repent, confess, do penance and humbly return to complete faith in every teaching of the Holy Roman Catholic Church.

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For the above intentions, I offer to God...

1. The sacifice of the Holy Mass and my reception of Holy Communion:
            

2. My repentance and my reception of the Sacrament of Reconciliation:
                            

3. My prayers of these chaplets of the most holy Rosary:
                        

4. My prayers of these Divine Mercy Chaplets:
                    

5. My fasting and acts of self-denial:
                    

6. My time spent reading and meditating on the words of Sacred Scripture:
                                

7. My examination of my conscience and prayers for my own repentance and conversion:
                                

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Print out this checklist. Use it to keep track of your efforts to work with God's grace for the repentance and conversion of sinners. In this way, may we all repent of our sins, and receive God's forgiveness in the Sacrament of Reconciliation.