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10th grade Confirmation registration form 2019/2020
Please submit a separate form each year of Confirmation and or each child.
Program Location: SJW Campus
Cost: $75 for 10th grade year Confirmation with retreat at SJW Campus
Times: Sunday 11:00am Mass, class begins promptly 12:15pm until 1:15pm
(Please note: $75 is due each year of Confirmation)
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Email
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Your email
Child # 1, Last Name
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Your answer
Child #1, First Name
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Your answer
2019/2020 Grade
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Address
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Your answer
City, State and Zip code
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Your answer
Sacraments: Was your child baptized at IHM or SJW?
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Yes, IHM - Please provide the date of baptism under Other
Yes, SJW - Please provide the date of baptism under other
No, ***please provide a copy of their certificate***
Other:
Required
Please acknowledge this is the correct program child will be attending.
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10th grade Confirmation held at SJW ~ 11:00am Mass, class begins promptly 12:15pm until 1:15pm
Allergies or medical concerns (please list)
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Your answer
Father's name
Your answer
Cell phone #
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Your answer
Mother's name
Your answer
Cell phone #
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Your answer
In case of emergency, call
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Your answer
Emergency #
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Your answer
Send me a copy of my responses.
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