Jr. Confirmation Registration
Please tell us a little about yourself:
Student Name (First, Middle, and Last) *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Whom does the child live with? (And relationship) *
Your answer
Parent e-mail *
Your answer
Student e-mail
Your answer
Siblings (names and ages)
Your answer
Date of Birth *
Your answer
Where were you born? (City, State) *
Your answer
What school do you attend? *
Your answer
Have you been baptized? *
Date of baptism:
Your answer
Any additional information (i.e. hobbies, interests)? *
Your answer
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