9th grade Confirmation registration form 2019/2020
Please submit a separate form each year of Confirmation and or each child.

Program Location: IHM Campus
Cost: $75 for 9th grade year Confirmation with retreat at IHM Campus
Times: Sunday, 9:30am Mass, class begins promptly 10:45am until 11:45am

(Please note: $75 is due each year of Confirmation)

To fill out the photo release form, please visit https://docs.google.com/forms/d/e/1FAIpQLSdagvjTI_xOjC_Q6c1C7nxWH1w96KUA6iazmjecubFm8ytLBw/viewform

Email address *
Child # 1, Last Name *
Your answer
Child #1, First Name *
Your answer
2019/2020 Grade *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
City, State and Zip code *
Your answer
Sacraments: Was your child baptized at IHM or SJW? *
Required
Please acknowledge this is the correct program child will be attending. *
Allergies or medical concerns (please list) *
Your answer
Father's name
Your answer
Cell phone # *
Your answer
Mother's name
Your answer
Cell phone # *
Your answer
In case of emergency, call *
Your answer
Emergency # *
Your answer
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