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CONFIRMATION REGISTRATION FORM
This form is to be used by parents/caregivers of students BEGINNING GR. 7 IN THE 2020/2021 ACADEMIC YEAR who wish to register their children for the celebration of Confirmation at St. Anthony Daniel Parish, Kitchener
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ENTER EMAIL ADDRESS
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Your answer
CONFIRMATION CANDIDATE'S INFORMATION
Confirmation Candidate's Surname (LAST/FAMILY)
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Your answer
Candidate's First and Middle Name(s)
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Your answer
Candidate's School
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SAINT JOHN PAUL II
CANADIAN MARTYRS
ST. DANIEL
Other:
CANDIDATE'S BAPTISMAL INFORMATION
PLEASE ANSWER ONE OF THE FOLLOWING:
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The Confirmation Candidate was baptized in a Roman Catholic Church
The Confirmation Candidate was baptized in an Eastern Rite Catholic Church
The Confirmation Candidate was baptized in an Orthodox Christian Church
The Confirmation Candidate was baptized in a Non-Catholic Christian Church
The Confirmation Candidate has not been baptized but would like to be
PLEASE ANSWER ONE OF THE FOLLOWING
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The Confirmation Candidate HAS made their First Communion
The Confirmation Candidate HAS NOT made their First Communion
Date of Birth
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MM
/
DD
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YYYY
Date of Baptism
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MM
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DD
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YYYY
Church of Candidate's Baptism (NAME AND FULL ADDRESS)
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Your answer
CONFIRMATION DATES
CONFIRMATION DATE SELECTION
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My child attends Canadian Martyrs and will be confirmed Saturday, May 15 at 10 AM
My child attends Canadian Martyrs and we would like to speak with Sarah about another day
My child attends St. Daniel and will be confirmed Saturday, May 15 at 1 PM
My child attends St. Daniel and we would like to speak with Sarah about another day
My child attends Saint John Paul II and will be confirmed Sunday, May 16 at 2 PM
My child attends Saint John Paul II and we would like to speak with Sarah about another day
My child attends another school and will be confirmed Saturday, May 15 at 10 AM
My child attends another school and will be confirmed Saturday, May 15 at 1 PM
My child attends another school and we would like to speak with Sarah about another day
PARENT/CAREGIVER INFORMATION
Family Contact Phone Number
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Your answer
Father's Surname (LAST/FAMILY)
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Your answer
Father's First and Middle Names
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Your answer
Father's Religious Affiliation
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Roman Catholic
Eastern Rite Catholic
Orthodox Christian
Non-Catholic Christian
Non-Christian
Mother's MAIDEN Surname (Family/Last)
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Your answer
Mother's First and Middle Name(s)
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Your answer
Mother's Religious Affiliation
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Roman Catholic
Eastern Rite Catholic
Orthodox Christian
Non-Catholic Christian
Non-Christian
FAMILY MAILING ADDRESS
Street Address
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Your answer
Unit/Apartment Number (If Applicable)
Your answer
City
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Your answer
Postal Code
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Your answer
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