Confirmation Mass for Youth with Disabilities

Confirmation Mass for Youth with Disabilities

Saint Patrick's Cathedral May 31, 2026, Registration Form
CANDIDATE'S NAME (If you have a middle name put it with First Name please)*

First NameLast Name
SAINT NAME CHOSEN FOR CONFIRMATION*
DATE OF BIRTH*

MonthDayYear
Date
YesYes, First CommunionNo
IF YES, PLEASE LET US KNOW IF THERE IS ANY ACCOMODATIONS NEEDED FOR RECEIVING COMMUNION. (WATER, GLUTEN FREE HOST, ETC.)
SIZE FOR GOWN (ONLY CANDIDATE'S HEIGHT)*
PLEASE DESCRIBE ANY ACCOMODATIONS THAT WOULD HELP YOUR CHILD FULLY PARTICIPATE IN THE MASS (MOBILITY, SENSORY, COMMUNICATION, ETC.)*
PLEASE SCAN AND ATTACH CANDIDATE BAPTISMAL CERTIFICATE *

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NAME OF PARENT/ GUARDIAN *

First NameLast Name
PHONE NUMBER*
Please enter a valid phone number.Format: (000) 000-0000.
EMAIL*
example@example.com
NAME OF PARISH/ ORGANIZATION*
ADDRESS OF PARISH/ ORGANIZATION*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NAME OF PASTOR/ CHAPLAIN*
NAME OF PERSON RESPONSIBLE FOR CONFIRMATION PREPARATION (DRE/CRE)*

First NameLast Name
PHONE NUMBER OF DRE/CRE*
Please enter a valid phone number.Format: (000) 000-0000.
ANTICIPATED NUMBER OF GUESTS (You are welcome to invite family and friends, but we cannot guarantee seating next to candidates)*

NAME OF SPONSOR (All sponsors must obtain a letter from their parish verifying that the sponsor is a Catholic in good standing signed with a visible seal) *

First NameLast Name
PLEASE SCAN AND ATTACH HERE SPONSOR LETTER OF CATHOLIC IN GOOD STANDING *

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PLEASE DESCRIBE ANY ACCOMODATIONS IF NEEDED FOR THE SPONSOR TO FULLY PARTICIPATE IN THE MASS (MOBILITY, SENSORY, COMMUNICATION, ETC.)*