St Michael's Catholic Church

Confirmation Form

Child's Name:^*

Child's Middle Name:

Child's Surname: ^*

Gender: ^* Male Female

Date of Birth: ^*

City and Country of Birth:^*

Baptized: ^* Yes No

Child's School: ^*

Child's Grade: ^*

Father's First Name: ^*

Father's Family Name:^*

Father's Religion: ^*

Mother's First Name: ^*

Mother's Maiden Name: ^*

Mother's Religion: ^*

Parents Address:^*

Parents Apt./Unit

Parents Postal Code: ^*

Parents Telephone Number: ^*

Parents alternate Telephone Number:

Parents E-mail Address: ^*

Registered Parishioner Yes or No: ^* Yes No

Please note that all registrations require a copy of the Baptism Certificate. Please scan and attach as an e-mail or provide a copy in person to the Parish Office. Registration Fee of $25 may be paid through PayPal link or paid at the Parish Office.

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