Confirmation, Reception, Reaffirmation Form
Please complete the applicable fields below to enable the St. Barnabas staff and clergy to effectively administer the sacrament of Confirmation, Reception, or Reaffirmation. This service will take place on Sunday, November 7 at 10:30am for Bishop Jake Owensby's annual visitation. If you have any questions, please contact Fr. Michael Bordelon at fathermichael@saintbarnabas.us.
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First Name *
Middle Name *
Last Name *
Maiden Name or Given Surname (if applicable)
Date of Birth *
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DD
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YYYY
City, State of Birth *
Street Address *
City, State *
Zip code *
Phone Number *
Email Address *
Confirmation, Reception, or Reaffirmation? *
Date of Baptism *
MM
/
DD
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YYYY
City, State of Baptism *
Name of Church Where Baptized *
Religion of Baptism *
Date of Confirmation
Please complete if you are being Received or Reaffirmed.
MM
/
DD
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YYYY
City, State of Confirmation
Please complete if you are being Received or Reaffirmed.
Name of Church Where Confirmed
Please complete if you are being Received or Reaffirmed.
Religion of Confirmation
Please complete if you are being Received or Reaffirmed.
Date of Marriage
MM
/
DD
/
YYYY
City, State of Marriage
Church or Location of Marriage
Spouse's Name
Submit
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