Confirmation Application and Consent Form
Application for the Sacrament of Confirmation - 2019 - 2020
Child's Name: *
Your answer
School: *
Required
Class Teacher: *
Required
Parent/Guardian Name: *
Your answer
Parent/Guardian Name:
Your answer
Parent/Guardian Contact Number: *
Your answer
Parent/Guardian Contact Email: *
Your answer
Our child was Baptised: *
Required
Church of Baptism: *
Required
Date of Baptism *
Please put a rough date if you are not sure.
MM
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DD
/
YYYY
If other church, please state the church:
Leave blank if it is the parish churches
Your answer
Do you have a copy of the Baptismal Cert. if Baptised in another church? *
Please submit a copy of the Baptismal Cert. to the Parish Catechist Natalie if Baptism was in another church.
Required
****Privacy Notice****: The information contained in this Form will be used to send reminders for Masses and sessions of preparation for Confirmation, and to register the Confirmation in the Parish records. The information will be retained on an encrypted Excel Spreadsheet on the parish computer and will be accessed by Fr Michael Murphy and Parish Catechist, Natalie Doherty, only. The information submitted in this form will be destroyed once the programme for Confirmation has been completed and recorded in the Parish Registers. The information in the Parish Register will be retained permanently. If Baptism was in a different parish, information on Confirmation will be sent back to that parish for inclusion in the Baptism Register. *
Required
I/We intend to participate in the Support Gathering to accompany our child in their preparation: *
Required
I/We would like to be part of the Family Mass Team: *
Required
I/We give permission for my child to participate in the Parish Programme of Preparation which includes classroom visits by members of the parish team and visits to the church: *
Required
Please select your preference for being contacted about reminder notifications for preparation Masses, Support Gathering, and reminders on ceremonies: *
Required
I/We consent to the use of a class photograph of my son/daughter to be displayed in the church as part of the class artwork: *
Required
Signed: *
Your answer
Date: *
MM
/
DD
/
YYYY
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