Request for Confirmation-Youth
Full Name of Person to Be Confirmed (Please include middle name.) *
Your answer
Gender *
Date of Birth *
MM
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DD
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YYYY
Place of Birth *
Your answer
Address *
Please include city, state, and zipcode
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Father's Full Name *
Your answer
Mother's Full Name *
Your answer
Address *
Please include city, state, and zipcode
Your answer
Parent's Address (if different from above)
Please include city, state, and zipcode
Your answer
Parents' Religious Affiliation
Your answer
Date of Baptism
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DD
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YYYY
Denomination in Which You Were Baptized
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Name of Church in Which You Were Baptized
Your answer
City in Which You Were Baptized
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