Confirmation Registration
Please fill out the form below. If you will have more than one child in the program please fill out a separate form for each.
Along with registration there will be a registration fee for each child.

Registration fee for Year I students is $30.00. PLEASE BRING A COPY OF BAPTISMAL & FIRST COMMUNION CERTIFICATES to the parish office.
Registration fee for Year II students is $70.00. PLEASE BRING SPONSOR FORM ALONG WITH THEIR CONFIRMATION CERTIFICATE to the parish office.

ALL late registrations will have to pay a $5.00 late fee.
Please bring the payment by the office no later than October 1st, 2017.
Feel free to contact me at 589-5829 ext. 17 with any questions. God bless you!

Brenda Malouff

First Name *
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Last Name *
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Birthdate *
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Address *
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City *
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State *
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Zip Code *
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Phone Number *
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Email
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Parent / Guardian First Name *
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Parent / Guardian Last Name *
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Parent / Guardian Phone Number *
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Parent / Guardian Email
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Has the student been baptized? *
Has the student received their First Holy Communion? *
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