CONFIRMATION 2019 REGISTRATION FORM
DEADLINE : September 9, 2018
First Confession and First Communion must be completed before preparing for Confirmation
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Date of Baptism *
MM
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DD
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YYYY
Church of Baptism *
Your answer
Date of First Communion *
MM
/
DD
/
YYYY
Birth Date *
MM
/
DD
/
YYYY
Place of Birth *
Your answer
Mother’s Maiden Name *
Your answer
Current School *
Your answer
Grade in School *
Your answer
Allergies or Special Needs
Your answer
History of Religious Formation (List all religious educational experiences)
Your answer
Mother’s Full Name *
Your answer
Father's Full Name *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Emergency Phone Number *
Your answer
Sponsor's Full Name *
Your answer
Sponsor's Email Address *
Your answer
Sponsor's Phone Number *
Your answer
Sponsor's Phone Number *
Your answer
Sponsor’s Relationship to Candidate (cannot be a parent) *
Your answer
Is the Sponsor able to attend outside school meeting with the Candidate? *
Has the Sponsor completed the Lexington Diocesan Safe Environmental Policy? *
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