St. Francis Xavier 2012-2013 Rite of Confirmation Registration Form
Page 1 - Candidate Information
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Full Name (Last, First, MI) *
Gender *
Street Address, City, and Zip Code *
Home Phone *
Cell Phone
Email Address
School *
Grade Level *
Date of Birth (MM/DD/YY) *
T-shirt Size *
Date of Baptism *
Church of Baptism *
If the candidate was not baptized at SFX, please record the name and address of the church of baptism below.
Date of First Eucharist *
Church of First Eucharist *
If the candidate did not receive First Eucharist at SFX, please record the name and address of the other church below.
Does the candidate have a Catholic Youth Bible, New American Version? *
Candidate lives with: *
Parents are: *
If divorced, are there custody issues that SFX should be aware of?
If you answered "yes" to the previous question, please explain.
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.
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