Cathedral Multi-Parish Confirmation Registration

First Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Confirmation Name REQUIRED Please fill out this field. Please enter valid data.

Age REQUIRED Please fill out this field. Please enter valid data.

Sponsor REQUIRED Please fill out this field. Please enter valid data.

Father' First and Last Name REQUIRED Please fill out this field. Please enter valid data.

Mother's First and Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Candidate's Current 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.

Month of Baptism REQUIRED

1

Please fill out this field.

Day of Baptism REQUIRED Please fill out this field.

Year of Baptism REQUIRED Please fill out this field.

Church of Baptism REQUIRED Please fill out this field. Please enter valid data.

Baptism Mailing Address REQUIRED Please fill out this field. Please enter valid data.

Baptism Mailing Address 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.

Baptism Country (if outside of USA) Please enter valid data.

*If the Church of Baptism has been closed or merged with another parish, please indicate that in the "Baptism Mailing Address" fiield above. Also if you know where the Baptismal Records for that parish are now being held, please complete the "Place of Record" section below.

Place of Record Please enter valid data.

Place of Record Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

**If candidate was validly baptized in a non-Catholic church, give date of Baptism and also date and place where candidate was received into the full communion of the Catholic Church.

Church of Reception Please enter valid data.

Reception Church Mailing Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Month of Reception

1

Day of Reception

Year of Reception

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