Sacrament of Confirmation Registration

Sacrament of Confirmation Registration
Recipient Name

First NameLast Name
Date of Baptism

MonthDayYear
Date
Place of Baptism
YesNo
YesNo
Recipient Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
If yes, what are the parent's names?
Recipient/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
If yes, What was the date of completion?

MonthDayYear
Date
If yes, what parish/church was classes?
If the answer is no, Recipient may complete form and a member of Clergy will contact you to set up time and place to start RCIA or confirmation prepreation classes.
Should be Empty: