Confirmation Registration

Confirmation Registration Checklist

Fill out the online registration form below (paper copies available in Parish/Church office)
Complete the Medical Release Form (also available in Parish/Church office)
Provide a copy of the candidate's Baptismal Certificate (unless you were Baptized or received 1st Eucharist at St. John the Evangelist)
Pay the $20 confirmation program fee

Registration closes on September 13, 2020. All forms and payment are due to St. John by that date.
The Parent Meeting will be on August 30 at 12:30pm in the Chapel.

Confirmation Registration

* Indicates required field

Student Name: Please include middle name with first name *

First

Last

Student E-mail *

Student Phone Number *

Parent Name 1 *

First

Last

Parent Name 2 *

First

Last

Mother's Maiden Name *

Parent Home Phone *

Phone Cell Phone *

Parent E-mail *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Other Parent Address (if needed) *

Line 1

Line 2

City

State

Zip Code

Country

Gender *

Male Female

Birthdate (XX/XX/XXXX) *

School *

Pertinent Medical Information *

Grade *

Baptized? *

Yes No

Date of Baptism Please use XX/XX/XXX format. *

Name of Church Where Baptized *

Address of Church Where Baptized (If at St. John, do not fill out this section) *

Line 1

Line 2

City

State

Zip Code

Country

First Eucharist? *

Yes No

Year of First Eucharist *

Name of Church Where First Eucharist was Celebrated *

Reconciliation? *

Yes No

Years of religious education completed *

E-Signature: If you have read and understood all of the above, please type student name. *

Parent E-Signature *

If you would like to be in a small faith group with anyone specific, please specify below. *

Submit