St. Raphael Confirmation Registration Form
To subsidize the cost of books and supplies this year, there will be a $30/child donation.  If your family is unable to donate the $30, please just let us know.  Payments can be sent/brought to the office or brough in the first day of class.
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Candidates First, Middle and Last Name *
Candidates Confirmation Name
Candidate's Sponsor's First, Middle and Last Name
Candidates Home Address *
Father's First, Middle and Last Name *
Mother's First, Middle and MAIDEN LAST NAME ONLY *
Name of the church where the candidate was baptized. *
Full address, city and state for the church where the candidate was baptized (we will need a hard copy of the baptism certificate when classes begin in September) *
Date of Baptism *
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City and State where the candidate was born *
Date of Birth *
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Parent's Email Address *
Parent's Phone numbers  *
Home Address *
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