Sacrament of Confirmation Registration

Sacrament of Confirmation Registration
Recipient Name

First NameLast Name
Date of Baptism

MonthDayYear
Date
Place of Baptism
Has Recipient had First Communion?

YesNo
Has Recipient had First Confession?

YesNo
Recipient Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is Recipient under 18 years old?

YesNo
If yes, what are the parent's names?
Recipient/Guardian Phone Number
Please enter a valid phone number.
Has Recipient Completed Confirmation Preparation Classes?

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.
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