Confirmation, Reception & Reaffirmation Candidate Form
If you or your child are interested in being Confirmed, Received, or Reaffirmed, please fill in all the information below. Once you submit the form, a member of the clergy will be in touch with you to discuss the process. Thank you!
Note: If any person had a different name at birth, please include it in parentheses.
Email of Person Completing the Form
*
example@example.com
Which would you like to pursue?
*
Confirmation - for those (over 12 years old) wishing to affirm the commitments made for them at their baptism.
Reception - for those previously Confirmed in another Christian church who want to join The Episcopal Church.
Reaffirmation - for Confirmed Episcopalians who want to publicly reaffirm their baptismal vows to the Bishop and their community.
Candidate's Full Name
*
Candidate's Home Address
*
Candidate's Phone Number
*
Candidate's Email Address
*
Gender
Candidate's Birth Date
*
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Month
-
Day
Year
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Candidate's Birth City, State
*
Candidate's Baptismal Date
*
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Month
-
Day
Year
Date Picker Icon
Candidate's Baptismal City, State
*
Candidate's Baptismal Location (full name of church)
*
Candidate's Baptismal Denomination
*
Candidate's Connection to St. Matthew's
*
Parent/Guardian is a member or prospective member
Candidate is a member or prospective member
Other
If you are an adult candidate for Reception or Reaffirmation, please list your Place of Confirmation (church, denomination, city, state):
If the candidate is under 18 years of age:
Parent/Guardian 1 Full Name
Home Address
Phone Number
Email Address
Parent/Guardian 2 Full Name
Home Address
Phone Number
Email Address
Anything else you’d like to share?
Submit
Should be Empty: