Confirmation Registration Confirmation Registration form 2021-2022 Which parish do you belong to? St. George St. John the Divine Candidate's Information General information about the young person being confirmed. First Name * Include First Name & any middle names that will appear on the certificate Last Name * Gender * Male Female Address * Address Address Apartment or unit # Apartment or unit # City City State/Province State/Province Zip/Postal Zip/Postal Date of Birth * MM/DD/YYYY Place of Baptism * Name of church & city Date of Baptism MM/DD/YYYY Upload Certificate of Baptism Drop a file here or click to upload Choose File Maximum upload size: 25MB Please take a photo or scan a copy of the child's baptismal certificate OR drop off a copy of the certificate to the parish office or bring to the Parent Information Meeting School the candidate is attending * Current grade of candidate * Please list any allergies that we need to be aware of: Candidate Lives with: * Both Parents Mom Dad OtherOther Parent Information Father's Full Name (or guardian) * Father's Religion (or guardian) * Mother's Full Name (or guardian) * Mother's Religion (or guardian) * Mother's Maiden Name * Is your family registered with your parish? * Yes NO (Please register to the parish by calling or via the parish website) Do we have permission to take your child's photograph to be used for our bulletin boards, website, Facebook/Twitter posts and future promotional items ? Yes No If yes - then please complete the electronic signature below Signature of Parent/Guardian Clear You may use your mouse to sign or type your signature Preferred Contact Person for Communications The person we should communicate with via e-mail or phone calls when necessary Name of Preferred Contact * Phone Number of Preferred Contact * Email Address of Preferred Contact * Confirm Email Address of Preferred Contact * Please confirm email address Sponsor Information Sponsor must be a Confirmed Catholic, over the age of sixteen and not a parent. (siblings, grandparents are acceptable) Sponsor Full Name * Phone Number * Email Address of Sponsor * Confirm Email Address of Sponsor * Please confirm email address Sacramental Preparation Confirmation Preparation will be 3 gathered retreats on the weekends of November 6/7, 2021, January 22/23, 2022, and March 6/7, 2022. If a candidate along with their parent/guardian/sponsor cannot attend, an alternative Thursday evening is offered as a make up evening. More information will follow. I UNDERSTAND THAT AT LEAST ONE PARENT/GUARDIAN, GRANDPARENT OR SPONSOR WILL ATTEND EACH OF THE PREPARATION SESSIONS WITH THE CHILD. * YES NO IF A PARENT/GUARDIAN, GRANDPARENT OR SPONSOR CANNOT ATTEND PREPARATION WITH THE CANDIDATE, PLEASE EXPLAIN WHY One of the parish staff will contact you and discuss the circumstances reCAPTCHA If you are human, leave this field blank. Submit
