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Confirmation Registration

- Sacraments

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- Confirmation Registration
- Child
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Female Male Please fill out this field.
  
  Parish where you are registered members Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  City of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Church, City, State, of Baptism REQUIRED Please fill out this field.
  
  Year of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in School REQUIRED Please fill out this field. Please enter valid data.
  
  Has your child been Confirmed previously? If yes where? Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parent Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Secondary Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Mailing 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.
- Accommodations: Check all that apply. Spanish Language Materials Requires Adaptive Curriculum Food Allergies
- There is a $75 materials fee. How would you like to pay? REQUIRED Pay By Check Pay Online (there's a payment link after you submit this form) Please fill out this field.
- Once you hit submit and pay you are registered. Please refer to the website for important dates and information.
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