7th and 8th Grade St. Luke's Confirmation Registration
This form is due by September 8th, 2017.

Please complete this information as completely as possible and send or bring the sacramental fee of $60 to the Parish Office.

We will contact you soon about meetings and paperwork. Thank you!

Candidate's First Name
Your answer
Candidate's Last Name
Your answer
Candidate's Gender
Candidate's Birthdate
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Candidate's Schoolplace
Your answer
Candidate's Current Grade
Candidate's Cell Phone Number
Your answer
Home Address (including city and zipcode) *This is mandatory, as we will send the information packet to this address.*
Your answer
Father's Name
Your answer
Father's Religion
Your answer
Father's Phone Number
Your answer
Father's Email Address
Your answer
Mother's Name (including maiden name)
Your answer
Mother's Religion
Your answer
Mother's Phone Number
Your answer
Mother's Email Address
Your answer
Candidate's Birthplace
Your answer
Candidate's Date of Baptism
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DD
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YYYY
Candidate's Place of Baptism (including address)
If your child was not baptized at St. Luke's, please provide a copy of his or her baptismal certificate at the first class.
Your answer
Candidate's Date of First Holy Communion
MM
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DD
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YYYY
Candidate's Place of First Holy Communion (including address)
If your child did not receive this Sacrament at St. Luke's, please provide a copy of his or her First Communion certificate at the first class.
Your answer
Parish where your family is currently registered
Your answer
Any other information about your child that you would like us to know:
Your answer
If anyone, other than a parent, will pick your child from class, please list their name(s) here.
Your answer
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