Archdiocese of St. Louis-Confirmation Sacristy Record
Parish Name:
Note:
This information is mailed to the Church of record (Church of Baptism) where your child's Sacramental Information is recoded. Complete and exact information is required. If your child's name has changed since baptism, please contact parish of baptism and provide legal documentation for the name change.
CONFIRMANDI INFORMATION
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student's Name:
First Name
Middle Initial
Last Name
Confirmation Name Chosen:
Date of Birth:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
City and State of Birth:
Date of Baptism:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Church of Baptism:
Church of Baptism Address:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Confirmand Education:
Home Schooled
PSR
Name of School:
Confirmation Sponsor's Name:
First Name
Last Name
PARENT INFORMATION
Father's Name:
First Name
Middle Initial
Last Name
Parishioner:
Yes
No
Father's Phone number:
Format: (000) 000-0000.
Father's Email
example@example.com
Mother's Name:
First Name
Middle Initial
Last Name
Mother's Maiden name:
Parishioner:
Yes
No
Mother's Phone number:
Format: (000) 000-0000.
Mother's Email
example@example.com
FOR OFFICE USE ONLY
Confirmation date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Minister:
First Name
Last Name
Register recorded date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Recorded by:
First Name
Last Name
PHOL recorded date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Recorded by:
First Name
Last Name
Published 12/5/2025
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