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Confirmation Registration Form 2020-2021
DUE TO PARISH OFFICE BY SEPTEMBER 30, 2020. Please return with $60 Confirmation Preparation Fee.
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Email
*
Your email
Please select your parish:
*
St. Lawrence
St. Matthew
Candidate's Full Name
*
Your answer
Candidate's Address - Please include the Street Address, City, State, and Zip Code
*
Your answer
Candidate's Email
Your answer
Candidate's Cell Phone Number
Your answer
Candidate can send and receive texts
Yes
No
Clear selection
Candidate's High School
*
Your answer
Candidate's Grade
*
9th Grade
10th Grade
11th Grade
12th Grade
Date of Birth
*
MM
/
DD
/
YYYY
Date of Baptism
MM
/
DD
/
YYYY
Baptismal Church Name
Your answer
Baptismal Church Address - Please include the Street Address, City, State, and Zip Code
Your answer
Has Candidate made their First Reconciliation?
*
Yes
No
Not sure
Has Candidate made their First Holy Communion?
*
Yes
No
Not sure
Home Phone Number
Your answer
Mother's Full (Maiden) Name - As shown on Candidate's Baptismal Certificate
*
Your answer
Mother's Mailing Address - If different from Candidate
Your answer
Mother's Phone Number
Your answer
Mother can send and receive texts
Yes
No
Clear selection
Mother's Email
Your answer
Father's Full Name - As shown on Candidate's Baptismal Certificate
*
Your answer
Father's Mailing Address - If different from Candidate
Your answer
Father's Phone Number
Your answer
Father can send and receive texts
Yes
No
Clear selection
Father's Email
Your answer
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