St. Elizabeth Ann Seton Catholic Church Office Of Religious Education Sacrament Of Confirmation Program Confirmation Registration Form printable pdf download

St. Elizabeth Ann Seton Catholic Church

Office of Religious Education

Sacrament of Confirmation Program

2012-2013 Confirmation Registration Form

** Please complete front and back of form **

Candidate Information

Full Name (First Middle Last)____________________________________Male _____ Female _____

Street Address__________________________________ City _______________ Zip __________

Home Phone _____________________ Cell Phone____________________

Email Address ____________________________ School __________________ Grade ________

Date of Birth ____________T-Shirt Size: ____ YM ____ YL ____ AS ____ AM ____ AL ____AXL

Date of Baptism ____________ Church: ____ SEAS

Other:_______________________________

Address of Other Church __________________________________________________________

Date of First Eucharist _____________ Church: ____ SEAS Other: __________________________

Address of Other Church __________________________________________________________

Candidate lives with: _____ Both Parents _____Mother ______ Father _____ Legal Guardian

Parents are _____ Married _____ Separated _____Divorced _____ Widow _____ Widower

If divorced, are there any custody issues that SEAS should be aware of? _____ Yes _____ No

If yes, please explain _____________________________________________________________

Is there anything you would like to tell us about your child? Please include any information concerning

allergies or special needs in the classroom. Kindly be as thorough as possible.

_____________________________________________________________________

Parent/Legal Guardian Information

Father’s Name (First Middle Last) _________________________________________________

Street Address, if different from candidate: _____________________________________________

City ____________________ST_____ Zip __________

Home Phone _________________________________Work Phone ________________________

Cell Phone __________________________________

Primary Email Address ___________________________________________________________

Religious Affiliation _________________________________________

Mother’s Name (First Middle Last) ____________________________________Maiden ________

Street Address, if different from candidate: ______________________________________________

City ____________________ST_____ Zip __________

Home Phone ________________________________Work Phone _________________________

Cell Phone __________________________________

Primary Email Address ___________________________________________________________

Religious Affiliation _________________________________________

St. Elizabeth Ann Seton Catholic Church Office Of Religious Education Sacrament Of Confirmation Program Confirmation Registration Form