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Adult confirmation Registration Step 3: Register your Confirmandi

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  Please review all of the information you input before hitting the submit button below. You will not be able to go back and edit after you hit submit.
  
  Select your Parish REQUIRED Please fill out this field.
  
  Coordinator Contact Info
  
  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.
  
  Confirmation Date REQUIRED May 22, 2021, 5:00pm, Vigil Mass for Pentecost May 23, 2021, 11:00am, Solemn Mass of Pentecost Please fill out this field.
  
  Confirmandi's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Name as it should appear on the Confirmation Certificate REQUIRED
  Once printed Certificates will not be reprinted. Please double check the spelling and do not use caps. This Name can be there Full Name or Saint's Name.
  Please fill out this field. Please enter valid data.
  
  Confirmation Saint Name (Can be a Saint or the Confirmandi's name, their choice) REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmandi 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.
  
  Country REQUIRED Please fill out this field.
  
  Birthdate (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Age on Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED
  If your Confirmandi does not have an email address, Coordinators should put their email address
  Please fill out this field. Please enter an email address.
  
  Name on Baptismal Certificate REQUIRED Please fill out this field. Please enter valid data.
  
  Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptismal Church Address Information
  
  This Address must be filled out in full to be accepted. - If not clear on baptismal certificate please have candidate to internet search for the Church 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.
  
  First Eucharist Church Information
  
  Church of First Eucharist 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.
  
  Country REQUIRED Please fill out this field. Please enter valid data.
  
  Parent and Sponsor Info
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Sponsor's Name REQUIRED Please fill out this field. Please enter valid data.
  
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Adult confirmation Registration Step 3: Register your Confirmandi

Please review all of the information you input before hitting the submit button below. You will not be able to go back and edit after you hit submit.