2024-2025 Confirmation Registration Form

Confirmation Registration

2024-2025 School Year
Student Name*

First NameMiddle NameLast Name
Student Date of Birth*

MonthDayYear
Date
Place of Birth (City & State)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Family E-mail*
Home Phone Number

Area CodePhone Number
Parent Cell Phone Number

Area CodePhone Number
Student resides with:*

Both parentsMotherFatherOther
Student Date of Baptism*

MonthDayYear
Date
Catholic Baptism?

YesNo
Name of Church where Baptism took place*
Address of Church
Candidate must obtain and provide a recent copy of his/her baptismal certificate directly from their church of baptism unless baptized at Ss. Cosmas and Damian Church. Certificate must be two-sided, and dated within the last six months by the church of baptism.
Student Date of First Eucharist

MonthDayYear
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 NameMaiden NameLast Name
Mother's Current Parish*
Mother's Current Religion*
Birth/Adoptive Father's Name*

First NameLast 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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Confirmation Registration

Candidate Parent Information