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Confirmation 2021-2022 Registration Form
To be completed for students who will be 7th and/or 8th graders in September 2021
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* Indicates required question
*If you have more than one child to register, please complete a separate registration form for EACH child.*
Please DO NOT use all CAPS. Thank you.
Name of Current School
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Your answer
Date of birth (mm/dd/yyyy)
*
Your answer
Grade in Fall of 2021
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Your answer
Last Name
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Your answer
First Name [No Nicknames Please]
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Your answer
Family Street Address
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Your answer
City/State/Zip
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Your answer
Best Contact Phone Number (000 - 000 - 0000)
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Your answer
Secondary Phone Number (000 - 000 - 0000)
*
Your answer
Mother's Email address
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Your answer
Father's Email address
*
Your answer
Candidates Baptism Information
Baptized at
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St. Matthias Church
Baptized at another church
Please note Date of Baptism (mm/dd/yyyy)
*
Your answer
Church of Baptism
*
Your answer
City/State of Baptism
*
Your answer
Mother's First and Maiden Name [No Nicknames Please]
*
Your answer
Father's First and Last Name [No Nicknames Please]
*
Your answer
Candidate for Sacrament lives with ...
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Both Parents
Mother
Father
Other Guardian
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