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2022-2023 St. Mark Confirmation - Registration Form
Forma de Inscripción para el Programa de Confirmación de San Marcos
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* Indicates required question
Candidate's First Name:
*
Nombre del Candidato:
Your answer
Candidate's Last Name:
*
Apellido del Candidato:
Your answer
Gender / Género:
*
Female / Mujer
Male / Hombre
Date of Birth / Fecha de nacimiento:
*
MM
/
DD
/
YYYY
Age / Edad:
*
Your answer
Home Address / Domicilio:
*
(e.g. 1234 Main St.)
Your answer
City / Ciudad:
*
Your answer
Zip Code / Area postal:
*
Your answer
Candidate's Email Address:
*
Correo electrónico del Candidato:
Your answer
Candidate's Cell Number (xxx-xxx-xxxx):
*
Numero de celular del Candidato:
Your answer
Home Number (xxx-xxx-xxxx):
*
Numero de teléfono de casa:
Your answer
Name of High School / Nombre de Secundaria:
*
(For example: Santa Monica High School, not SAMO)
Your answer
Current Grade Level / Nivel de grado actual:
*
9th - Freshman
10th - Sophomore
11th - Junior
12th - Senior
Other:
Candidate lives with? / Candidato vive con?
*
Both Parents (One Household) / Ambos padres (Un domicilio)
Both Parents (Two Households) / Ambos padres (Dos domicilios)
Mother / Madre
Father / Padre
Stepmother / Madrastra
Stepfather / Padrastro
Grandparent(s) / Abuelos
Other:
Has the Candidate received First Communion?
*
¿Ha recibido la/el candidata(o) la primera comunión?
Yes
No - We will prepare him/her for the Sacrament | Lo/a prepararemos para el sacramento
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