Confirmation Sign-up (11th Grade)
2023-24 Classes held at St. Lucy's Sunday Nights from 6:00pm to 7:30pm (See schedule for detailed dates)
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Student's first name *
Student's middle name
Student's last name *
Gender
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Student's date of birth *
MM
/
DD
/
YYYY
School Attending *
Grade on Sept. 1. 2023 *
Student's baptism date (please mail copy of baptism)
Where was students baptized (The church of baptism)
Family email address *
Student email address *
Mailing address *
What parish are you registered parishioners at?
Father's name
Father's religion
Mother's name *
Mother's religion
Mom's cell # *
Dad's cell #
Student's cell # *
What is the best way to contact you?
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Emergency Contact: Name, Relationship,
Emergency contact phone #
Are parent's divorced
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List any special need: (ADD, ADHD, physical restriction, allergies, medications
Next
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