JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Confirmation Registration 2025-2026
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Confirmation Preparation Election
*
Please include our family in the Confirmation Preparation Process for 2025-2026
Required
Candidate's Full Name
*
Your answer
Candidate's Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Has your child been baptized?
*
Yes
No
If yes, Date of Baptism
Note: This MUST be the exact date of baptism
MM
/
DD
/
YYYY
Church of Baptism
Your answer
Church Location (Town)
Your answer
Has your child received their First Eucharist?
*
Yes
No
If your child was baptized at any church OTHER THAN St. Margaret Mary, Mt. St. Peter, St. Joseph, or St. Mary of Czestochowa, please provide a copy of their baptismal certificate to Heather Hensley.
Sponsor Name
*
Your answer
Confirmation Saint Name
*
Your answer
If the Confirmation candidate has not picked their sponsor or saint name for Confirmation please say, "not decided yet."
Father's Name (First, Middle, Last)
*
Your answer
Mother's Name (First, Middle, Maiden, Last)
*
Your answer
Street Address
*
Your answer
City, Zip
*
Your answer
Phone
*
Your answer
Digital Signature
By typing your full name below, you agree that this serves as your digital signature.
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report