Please ensure that all information is correct before submitting. Should ANY information change while your teen is in our program, please let us know!
Both Parents/Guardian's Names *
Parent/Guardian serving as Primary Contact *
Primary Contact Cell Phone *
Please enter 10-digit number
Primary Contact Email *
Mailing Address, City & Zip Code *
I understand that I will need to submit a copy of my teens BAPTISMAL CERTIFICATE upon final registration or they will not be input into a class. *
I understand that this form is the FIRST step of registration for the Confirmation Program at Our Lady of Perpetual Help in Selma, TX and, BEFORE THE CANDIDATE CAN BE FULLY REGISTERED, the final steps must be completed. Final Steps will be sent in a follow up email. *
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This form was created inside of OLPH Youth & Young Adult Ministry. Report Abuse