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Enrollment 2022-2023 Confirmation

- Sacraments

Confirmation Enrollment Form 2022-2023
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- 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
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