2022-2023 Confirmation Registration Form

Confirmation Registration

2022-2023 School Year
Student Name *

First Name Middle Name Last Name
Birth Date

Month Day Year
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Family E-mail
Mobile Number

Area Code Phone Number
Phone Number

Area Code Phone Number
Work Number

Area Code Phone Number
Student resides with:

Both parents Mother Father
Student Date of Baptism

Month Day Year
Date
Catholic Baptism?

Yes No
Name of Church where Baptism took place
Address of Church
Candidate must provide a copy of his/her baptismal certificate unless baptized at Ss. Cosmas and Damian Church.
Student Date of First Eucharist

Month Day Year
Date
Name of Church where First Eucharist took Place
Address of Church
Candidate Parent Information

Please fill out all information for both parents, if available.
Birth/Adoptive Mother's Name

First Name Maiden Name Last Name
Mother's Current Parish
Mother's Current Religion
Birth/Adoptive Father's Name

First Name Last Name
Father's Current Parish
Father's Current Religion
Attendance at all sacramental preparation classes is required. A parent is expected to attend sacramental prep classes with the candidate. Fee for Confirmation Preparation is $110.00 per candidate and should accompany this application. Paying on line will incur a $2.50 service fee. All children preparing to celebrate sacraments must also be enrolled and participating in SS. Cosmas & Damian's parish Faith Formation program, or attending a Catholic day school.
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Confirmation Registration $ 112.50

Number of Children

Total $ 0.00

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Credit Card Number	Security Code
Card Expiration

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Confirmation Registration

Candidate Parent Information