St. John's Confirmation Registration Form
Please complete this form to sign your child up for the 1-year Confirmation class.
Student Information
First Name *
Your answer
Middle Name
The middle name is required if the student has one.
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
School *
Your answer
Grade *
Your answer
Student's Email *
Your answer
Student's Phone # *
Your answer
Parent Information
Father's Full Name *
Your answer
Mother's First and Maiden Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone # *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone # *
Your answer
Sacramental Records
Date of Baptism *
MM
/
DD
/
YYYY
Place of Baptism *
Include Church, City & State
Your answer
Date of First Communion *
MM
/
DD
/
YYYY
Place of First Communion *
Include Church, City & State
Your answer
Parents will need to provide a copy of the child's baptismal certificate to the Rectory or Religious Education Coordinator. If St. John’s was the child's church of Baptism, no certificate is needed. Thank you.
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