Confirmation Record

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  This information is needed for your confirmation certificate. Please fill this form out by March 30, 2020.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Baptismal Church (Church where you were baptized) REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Name of Birth Father REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Birth Mother (including Madien Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Saint Name REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Sponsor REQUIRED Please fill out this field. Please enter valid data.
  
  Submit