Saint Mary Confirmation Registration 2020-2021
Please fill out one form for each child in the family that will be enrolled
Email Address *
Are You Registered at Saint Mary *
Students Last Name: *
Students First Name: *
Students Date of Birth: *
Clear selection
Home Address, please include City *
Cell Phone: *
Home Phone
Second Email *
Grade in School 2020-21 *
School Your Child Will Attend 2020-21 *
Father's Name *
Father's Cell *
Mother's Name *
Mother's Cell *
Have there been any gaps in your child's religious education preparation? *
Roman Catholic Baptism *
A copy of their certificate of Baptism is needed if not Baptized at Saint Mary *
If baptized at saint Mary, please include an approximate date
Have they received the sacrament of first Communion and Reconciliation *
Is there any medical information or learning needs we should know about? *
Emergency Contact Information (Include Name, Phone and Relationship) *
Primary doctor information, Name and phone number *
Primary doctor information, Name and phone number *
I am interested in Volunteering. New Volunteers will be contacted by Mr Haviland. There are Archdiocese requirements to complete to volunteer. Any questions, contact
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