2023/2024 Blessed Sacrament Confirmation Registration Form

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Student Name *

Student Gender *

Male

Female

Street Address *

City *

Zip Code *

Student's phone number *

Student's email address **Email will be the primary form of communication. Parents will be copied on each email. An email address for the student that is NOT a parent/family address is required so that students can take ownership over communication, scheduling, deadlines, etc.** *

School attending in the fall *

Student grade *

9th Grade

10th Grade

Church of Baptism

*If you were not baptized at Blessed Sacrament, please bring a copy of your Baptismal Certificate to the Parent Meeting*

Date of Baptism *

YYYY

Are you registered members of Blessed Sacrament Church? *

Yes

If you are not a member, what is your home parish?

Allergies or medical conditions that we should be aware of:

Extracurricular Activities/Sports *

Do you have a job? *

Yes

If you have a job, where do you work?

Why do you want to be confirmed? (Be honest!) *

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