Confirmation Certificate Information

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We will use the data from this form to fill out the student's Confirmation certificate. Please ensure you have typed the correct spelling, names, and other data. If the certificate is printed according to the information provided on this form, and you want to make a change, then there is a $10 fee. Please reach out to shelley.olmc@gmail.com with any questions/issues.

Student's Name (type exactly as you want it on the certificate): *

Father's Name (type exactly as you want it on the certificate): *

Mother's First and Maiden Name (type exactly as you want it on the certificate): *

Sponsor's Name (type exactly as you want it on the certificate): *

Student's Date of Birth: *

Student's Birthplace (town/city): *

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