CONFIRMATION INFORMATION SHEET
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Date of Application *
MM
/
DD
/
YYYY
Type *
Full Name *
Including middle name
Date of Birth *
MM
/
DD
/
YYYY
City/Town and State of Place of Birth *
Current Address *
Phone Number *
Parent 1 Full Name *
Include middle and maiden, where applicable
Parent 1 Religious Affiliation *
Parent 2 Full Name *
Including middle and maiden, where applicable
Date of Baptism *
Enter info to the best of your knowledge
Name of Church and Place of Baptism *
Denomination of Baptism *
Date of Confirmation *
MM
/
DD
/
YYYY
Additional Remarks
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