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
WILL THE CANDIDATE RECEIVE COMMUNION?
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.)