Confirmation Registration Form

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Child/Candidate's Full Name(Required)

First Last

Child/Candidate's Grade Level(Required)

Child/Candidate's Date of Birth(Required)

Child/Candidate's Home Parish(Required)

Child/Candidate's School(Required)

Child/Candidate's Phone Number(Required)

Child/Candidate's Email(Required)

Father's Full Name(Required)

First Last

Father's Phone Number(Required)

Mother's Full Name (including Maiden Name)(Required)

Mother's Phone Number(Required)

Parent E-mail (only 1 email address required)(Required)

Baptism Information

Name and location of Church(Required)

Date of Baptism (baptism certificate required)(Required)

Godfather Name(Required)

First Last

Godmother Name(Required)

First Last

First Holy Communion Information

Name and location of Church(Required)

Date of First Holy Communion(Required)