Confirmation 2024 Application and Consent Form

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To register your child to receive the Sacrament of Confirmation in Assumption Parish, Ballyfermot 2024

Email *

Child's Surname *

Child's First / Christian Name *

Child's Date of Birth *

YYYY

Parent 1 / Guardian Name *

Parent 2 / Guardian Name

Child's Home Address *

Parent / Guardian Mobile Number *

Name of School *

St. Michael's

St. Raphael's

St. Gabriel's

Class Teacher's Name *

Miss Coen (St. Michael's)

Mr. Menton (St. Michael's)

Mr. Barry-Murphy (St. Raphael's)

Miss McDermott (St. Raphael's)

Mr. Clyne (St. Gabriel's)

Miss Heduan (St. Gabriel's)

Our child was baptised a Roman Catholic *

Yes

Where was your child baptised? (Please be certain the answer is correct) *

Assumption Church, Ballyfermot (Baptism Certificate not required, no need to submit a copy of the Certificate as we will already have it on our records, and no need to answer questions marked ***)

Other Church (Answer questions below marked ***)

Date of Baptism (approx if not certain)

YYYY

***If baptised in a church other than Assumption, Ballyfermot please clearly state the name and address of the church and parish. (Please be absolutely certain the answer is detailed and correct)

***If your child was baptised in a church other than Assumption Church in Ballyfermot, do you have a copy of the Baptismal Certificate? Please submit a copy of the Baptismal Certificate to the teacher asap.

Yes, I have a copy and will submit asap.

Have to obtain from church and will do so and submit asap.

Clear selection

We are happy to participate in any and all of the activities and events that might be part of the preparations for our child to receive the Sacrament. *

Yes

Please select your preference for being contacted *

Mobile

Are you able to participate in online ZOOM meetings if required? *

Yes

Unable

****Privacy Notice****: The information contained in this Form will be used to send reminders for Masses, as well as to send resource material to help parents / guardians and children to prepare for the Sacrament, and to register the Confirmation in the parish records. If your child was Baptised in a different parish, information on your child's Confirmation will be sent back to that parish for inclusion in the Baptimal Register there. Information in parish registers will be retained permanently. Otherwise all information in this Form will be destroyed once the programme for Confirmation has been completed and recorded in the parish registers. *

I have read and agree to the Privacy Notice.

Signed: a typed name will suffice as a signature. *

Date: *

YYYY

Submit

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