St. Helen Confirmation 2024-2025

St. Helen Confirmation 2024-2025

Registration
Child's Name*

First Name (as you want it to appear on certificate)Middle NameLast Name
Date of Birth*

MonthDayYear
Date
Place of Birth*
City and State
T-shirt size*
Child Attends*
Church of Baptism-If not baptized at St Helen you must submit a Baptismal Certificate (If you previously submitted one you do not have to do it again)*
Include Church Name, City & State
Date of baptism*

MonthDayYear
Date
Father's Name*

First NameLast Name
Father's Religion
Mother's Name *

First NameMAIDEN Name
Mother's Religion
Address*

Mailing Address

Street Address Line 2

Citystate

Postal / Zip Code
Primary Email*
example@example.com
Primary Phone Number*
Please enter a valid phone number.
Any Allergies or Medical Conditions?*

YesNo
Please give details
Payment Information

Payment of $50 is due on or before Sept 1st 2024. You can pay by cash or check made out to St Helen or through on-line giving. If you choose on-line giving, after you submit this form you will be directed to the website to complete payment.
I intend to pay by*
I, undersigned, agree with the following statements:*

I am the parent/guardian of the child indicated above.I am giving my permission to take my child's pictures for classroom projects and post them on the church website.I intend to pay on or before Sept 1st 2024
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty: