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St. Francis Xavier 2012-2013 Rite of Confirmation Registration Form
Page 1 - Candidate Information
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* Indicates required question
Full Name (Last, First, MI)
*
Your answer
Gender
*
Choose
Male
Female
Street Address, City, and Zip Code
*
Your answer
Home Phone
*
Your answer
Cell Phone
Your answer
Email Address
Your answer
School
*
Your answer
Grade Level
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Choose
8th
9th
Other
Date of Birth (MM/DD/YY)
*
Your answer
T-shirt Size
*
Choose
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra-large
Date of Baptism
*
Your answer
Church of Baptism
*
Choose
St. Francis Xavier
Other
If the candidate was not baptized at SFX, please record the name and address of the church of baptism below.
Your answer
Date of First Eucharist
*
Your answer
Church of First Eucharist
*
Choose
St. Francis Xavier
Other
If the candidate did not receive First Eucharist at SFX, please record the name and address of the other church below.
Your answer
Does the candidate have a Catholic Youth Bible, New American Version?
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Yes
No
Candidate lives with:
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Both Parents
Mother
Father
Legal Guardian
Parents are:
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Married
Separated
Divorced
Widow
Widower
If divorced, are there custody issues that SFX should be aware of?
Choose
N/A
Yes
No
If you answered "yes" to the previous question, please explain.
Your answer
Is there anything else you would like to tell us about your child? Please include any information about allergies or special needs in the classroom. Kindly be as thorough as possible.
Your answer
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