Confirmation Information Form
Additional Registration Information needed by Jim Spinale, Coordinator of High School / Confirmation. THIS FORM IS NOT A REPLACEMENT FOR REGISTERING FOR RELIGIOUS EDUCATION WITH THE BILLERICA CATHOLIC RELIGIOUS EDUCATION OFFICE. Please download the Family Registration Form if you have not yet registered for Religious Education / Confirmation.

Please fill in all the required fields and as many fields as you are able. If you have not decided on a Confirmation Name (which is optional), a Confirmation Sponsor, or at which Church you will receive the sacrament of Confirmation, you may leave those fields blank for now.

First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Family Email *
Your answer
Family Phone Number
Your answer
Candidate Email (optional)
Your answer
Candidate Phone Number
Your answer
Note on candidate email and phone number - some families prefer to have students included in communication from the Church regarding their participation. Minors will always have parents copied on messages sent to them.
Address
Your answer
Candidate Date of Birth
MM
/
DD
/
YYYY
Mother's Name (with Maiden Name) *
Your answer
Father's Name *
Your answer
Date of Baptism
MM
/
DD
/
YYYY
Church of Baptism
Billerica Catholic Religious Education will need a copy of a Baptismal Certificate if the Confirmation Candidate was not Baptized, or received First Eucharist, in one of the three Billerica parishes.
Church of First Eucharist (Communion)
For Confirmation 2 Students Only
The information below only needs to be filled out by High School / Confirmation 2 students only, who have completed High School / Confirmation 1.
Confirmation Name
Your answer
Sponsor Name
Your answer
Sponsor Relationship to Candidate
Your answer
Sponsor's Church (Parish)
Your answer
Sponsor's Church (Parish) Town (and state, if outside Massachusetts)
Your answer
At which Church would you like to receive Confirmation?
Submit
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