2020-2021 Confirmation Information Form
THIS IS NOT A REGISTRATION FORM.
This is just a Contact info form to get started as we finalize plans for 2020-2021, and we will follow up with registration information by mid-August.
TEEN CANDIDATE INFO
Please ensure that all information is correct before submitting!
Teen's FIRST Name *
Teen's LAST Name *
TEEN (NOT PARENT) Cell Phone (for online assignments) *
Gender *
Birthday *
MM
/
DD
/
YYYY
Grade *
School *
Teen lives with: (check all that apply) *
Required
PARENT/GUARDIAN INFO
Please ensure that all information is correct before submitting. Should ANY information change while your teen is in our program, please let us know!
Both Parents/Guardian's Names *
The Parent/Guardian serving as Primary Contact *
Primary Contact Cell Phone *
Please enter 10-digit number
Primary Contact Email *
Mailing STREET Address *
City & ZIP CODE *
Does the candidate have reliable internet access via phone or home service? *
Please check all that apply: *
Required
IMPORTANT: I understand that I will need to submit a copy of my teens BAPTISMAL CERTIFICATE upon final registration or they will not be input into a class. (Even if Baptized at OLPH) *
I understand that this form is the FIRST step of registration for the Confirmation Program at Our Lady of Perpetual Help in Selma, TX and, BEFORE THE CANDIDATE CAN BE FULLY REGISTERED, the final steps must be completed. Final Steps will be sent in a follow up email by August 15th. *
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