South Boston Confirmation Grades 9+ Sign Up
Dear Parents and Guardians,

Thank you for taking the time to fill out the following form. When you have completed the form, please click the "Submit" button at the bottom of the page.

A $50 Registration Fee for the year's classroom materials is requested.

Thank you and God bless!

Student's First Name
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Student's Middle Name
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Student's Last Name
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Student's Email
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Student's Date of Birth (mm/dd/yyyy)
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Student's Current School
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Student's Grade Level as of September 2017
Address 1
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Address 2
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City
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State
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ZIP Code
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Student's Current Parish
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Student's Church of Baptism *
*Important for recording and notification purposes*
If not in the Collaborative: City/State, and of Church
If your child was baptized in another Parish, we will need a copy of their baptismal certificate.
Your answer
Student's Date of Baptism (mm/dd/yyyy) *
*Important for recording and notification purposes*
Your answer
Student's Church of First Communion *
*Important for recording and notification purposes*
If not in South Boston, City/State, and of Church
If your child received First Communion in another Parish, we will need a copy of their First Communion certificate.
Your answer
Student's Date of First Communion (mm/dd(yyyy) *
*Important for recording and notification purposes*
Your answer
Student Allergies / Health Concerns
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Parent/Guardian 1 First Name
Your answer
Parent/Guardian 1 Last Name
Your answer
Parent/Guardian 1 Phone
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Parent/Guardian 1 Email
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Parent/Guardian 2 First Name
Your answer
Parent/Guardian 2 Last Name
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Parent/Guardian 2 Phone
Your answer
Parent/Guardian 2 Email
Your answer
Emergency Contact Full Name
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Emergency Contact Phone
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