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Saint Mark's Cathedral Youth Confirmation Program
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First Name
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Last Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Pronouns
She/Her
He/Him/His
They/Them
Other:
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2023-24 Grade in School
Your answer
Has your youth been baptized?
Yes
No
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Primary Home Address
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Parent/Guardian #1 Name
Your answer
Parent/Guardian #1 Email
Your answer
Parent/Guardian #1 Phone
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Email
Your answer
Parent/Guardian #2 Phone
Your answer
Youth Email - by supplying us with the youth's email, you are giving permission to contact the youth directly using this method.
Your answer
Youth's TWO Favorite Ice Cream flavors :)
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