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Enrollment 2022-2023 Confirmation

- Confirmation Enrollment Form 2022-2023
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Candidate's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Candidate's Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Candidate's Last Name (Please include any suffix such as Jr., III, etc...) REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Parent 1 Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parent 2 Email Please enter an email address.
  
  Mother's Full MAIDEN Name (First, Middle, and Maiden) REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Father's Full Name (First, Middle, Last and Suffix if applicable i.e. Sr. Jr. III, etc... ) REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Candidate's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Candidate's Birth City and State REQUIRED Please fill out this field. Please enter valid data.
  
  Candidate's School REQUIRED Please fill out this field. Please enter valid data.
  
  Candidate's Baptismal Parish REQUIRED Please fill out this field. Please enter valid data.
  
  Catholic Parish Profession of Faith (For those not baptized in the Catholic Faith) Please enter valid data.
  
  First Reconciliation Parish Please enter valid data.
  
  First Eucharist Parish REQUIRED Please fill out this field. Please enter valid data.
  
  Please note: Baptismal and First Eucharist certificates will be requested from you if they are not already on file with the Religious Education Office.
  
  Confirmation Fee includes Confirmation program materials and Luke 18 retreat supplies, meals and T-Shirt.
  
  Confirmation Fee100.0
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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