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Religious Education Registration

CCD / CONFIRMATION

Address Information
Family Name
  •  
Mailing Address
  •  
Home Phone --
  •  
Head of Household
Last Name
  •  
First Name
  •  
Gender
  •  
E-mail
  •  
Religion
  •  
Marital Status
  •  
Cell Phone
  •  
Work Phone
  •  
Spouse/Other Adult
Last Name
  •  
First Name
  •  
Gender
  •  
E-mail
  •  
Religion
  •  
Marital Status
  •  
Cell Phone
  •  
Work Phone
  •  
Registration Offering:
Fees 1 child -- $25.00 2 children -- $45.00 Each additional child -- $15.00 (no one is turned away for inability to contribute) If you would like to pay online, you can go back to our homepage and click on the "Online Giving" icon on the ride-hand side. There is a fund, CCD/Confirmation Registration.
Dependents
Last Name
  •  
First
  •  
Middle
  •  
Special Needs
  •  
Gender
  •  
Date of Birth //
  •  
Place of Birth: City, State, Country
  •  
Please be sure to separate with a comma.
Sacraments Please check sacraments received and provide information.
Baptism
  •  
Baptism Date //
  •  
Church of Baptism
  •  
City and State
  •  
Reconciliation/Confession
  •  
Holy Communion
  •  
Holy Communion Date //
  •  
Church of Holy Communion
  •  
City and State
  •  
Attended CCD/Confirmation class last year
  •  
Grade Level
  •  
School Attending
  •  
Dependents
Last Name
  •  
First
  •  
Middle
  •  
Special Needs
  •  
Gender
  •  
Date of Birth //
  •  
Place of Birth: City, State, Country
  •  
Please be sure to separate with a comma.
Sacraments Please check sacraments received and provide information.
Baptism
  •  
Baptism Date //
  •  
Church of Baptism
  •  
City and State
  •  
Reconciliation/Confession
  •  
Holy Communion
  •  
Holy Communion Date //
  •  
Church of Holy Communion
  •  
City and State
  •  
Attended CCD/Confirmation class last year
  •  
Grade Level
  •  
School Attending
  •  
Dependents
Last Name
  •  
First
  •  
Middle
  •  
Special Needs
  •  
Gender
  •  
Date of Birth //
  •  
Place of Birth: City, State, Country
  •  
Please be sure to separate with a comma.
Sacraments Please check sacraments received and provide information.
Baptism
  •  
Baptism Date //
  •  
Church of Baptism
  •  
City and State
  •  
Reconciliation/Confession
  •  
Holy Communion
  •  
Holy Communion Date //
  •  
Church of Holy Communion
  •  
City and State
  •  
Attended CCD/Confirmation class last year
  •  
Grade Level
  •  
School Attending
  •  
 
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