Registration Form for Sacrament of Confirmation

Registration Form for Sacrament of Confirmation
To register

1. Complete the following request form

2. Attach your child's Roman Catholic Baptismal Certificate
Candidate's Family Name *
Candidate's Given Names *
Has your child been baptized *

Yes No
Into what religion was your child baptized
Name of church where your child was Baptized

Address of the church of Baptism

Street Address

City	Province
Zip Code	Country

Date of Baptism
Father's First and Last Name *

First Name Last Name
Mother's First Name and Last Name *

First Name Last Name
Mother's Maiden Name *

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail Address *
Home Phone Number *

- Area Code Phone Number
Work Number *

- Area Code Phone Number
Candidate's School *
Candidate's Grade *
Please attach candidate's Roman Catholic Baptismal Certificate
Baptismal Certificate
Should be Empty: