Confirmation Class Registration Form
The following information is required by the Bishop's office prior to Confirmation. It will remain confidential and will be used solely for diocesan and church records.
Name
*
First Name
Middle Initial
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Birthdate
*
-
Month
-
Day
Year
Date
Preferred Pronouns
*
Most Recent Denomination (if other than Episcopal)
Date of Baptism
*
-
Month
-
Day
Year
Date
Location of Baptism
*
Location of Baptism
*
Church of St. Michael & St. George
Other (Please include location of baptism)
Submit
Should be Empty: