Confirmation Application
Please use names exactly as they appear on the Birth Certificate.  

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Email *
Term *
Candidates Name *
Date of Birth
MM
/
DD
/
YYYY
Place of Birth
City and State  
Father or Guardian's Full Name
(Leave blank if not on the Birth Certificate)
Fathers Phone number
Mother or Guardians Full Name
Mother's Phone
Address
God Parent *
Must be of Catholic Faith
God Parent
(Leave blank if only one God Parent)
Must be of Catholic Faith
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