Confirmation Special Information
This is all the information we need for record keeping and the certificate
First Middle and Last Name of Confirmation Candidate
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
City and State of Birth
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact
First Name
Last Name
Primary Contact Email
example@example.com
Primary Contact Phone
Please enter a valid phone number.
Baptism Date
Church of Baptism
Baptism Church Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Baptism Certificate
If you were not baptized at St. John LaLande please send me a copy or take a picture of your certificate. You can upload it below.
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Remember to also fill out the general permission form to attend Confirmation Classes.
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform