Confirmation 2019-20 Registration Form
Student Information
First Name
Your answer
Last Name
Your answer
Gender
Birth Date
MM
/
DD
/
YYYY
Will you turn 18 years old during the school year?
Address
Your answer
City/Zip Code
Your answer
Grade Level (Fall 2019) *
Cell # or Home #
Your answer
Email Address
Your answer
School
Your answer
Baptized in the Church of:
Your answer
City/State
Your answer
Are you a St. Vincent de Paul Parishioner?
Primary Parent/Guardian Information
Mother's Name (First and Last)
Your answer
Father's Name (First and Last)
Your answer
Address (if different from student)
Your answer
City/Zip (if different from student)
Your answer
Home # or Cell #
Your answer
Email Address
Your answer
Are you interested in volunteering as a home group facilitator?
Have you had Virtus training?
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