Registration for Adult Confirmation Preparation

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Full Name (first, last, and middle)*

Candidate’s Full Name

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Cell Phone*

Email Address*

Date of Birth*

City/State of Where You Were Born*

Father's Full Name*

Mother's Full maiden Name*

Have you ever been Baptized?*

Name of Church where you were Baptized*

City and State of Church where you were Baptized*

Was it a Catholic Baptism?*

Have you received 1st Communion?*

Marital Status*

Date of Marriage*

Spouse Information

Spouse's Name*

First Last

Is your spouse baptized?*

Religion*

Who performed the marriage ceremony?*

Why are you seeking Confirmation?*

How long have you been attending the Catholic Church?*

How are your participating in the Catholic Church?*

Is there anything else you would like us to know about you?

Name

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