Confirmation Registration

Fill out online registration form (paper copies available in Parish/Church office)
Confirmation Booklet
Medical Release Form (Click here to download)
- Also available in Parish/Church office
Copy of Baptismal Certificate *(unless you were Baptized or received 1st Eucharist at St. John the Evangelist)
$20.00 Confirmation program fee. *Please let me know if fee is a hardship for you!
Registration closes on September 13, 2020.
All forms and payment are due to St. John by that date.
Parent Meeting on August 30th 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