2023/2024 Confirmation Registration Form
Register one child per form.
Child's name
*
First Name
Middle Name
Last Name
Father's name
*
First Name
Middle Name
Last Name
Mother's name
*
First Name
Middle Name
Last Name
Mother's maiden name
*
Primary contact name
*
Primary contact relationship to child:
*
Father
Mother
Grandparent
Foster Parent
Other
Primary contact phone number
*
Please enter a valid phone number.
Primary contact alternate phone number
Please enter a valid phone number.
Primary contact email
*
example@example.com
Primary contact address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child's date of birth
*
-
Month
-
Day
Year
Date
Child's place of birth
*
If USA provide city and state. If international provide country and city.
Is the child Baptized?
*
No
Yes
Child's date of Baptism
*
-
Month
-
Day
Year
Date
Child's church name of Baptism
*
Child's address of church where Baptized
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Attach Baptismal certificate with notations if available
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Did the child receive First Holy Communion?
*
Yes
No
Does this child receive formalized Catholic religious education in addition to this Confirmation Sacramental Prep program? (Catholic school, homeschooling, etc.). If so, please specify.
*
Does the child have any special needs we should know about to ensure the best experience possible? Consider allergies, emotional, physical, medical, situational, and learning challenges.
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