Adult Confirmation Registration
Information is held in confidence and is not shared without your permission.
Complete Full Name /Nombre Completo
*
Maiden Name if applicable/ Nombre de Soltero
Date of Birth/Fecha de Nacimiento
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Birth City State Country if not USA
*
Address/ Dirección
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
*
Format: (000) 000-0000.
Email
*
example@example.com
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2. Check those sacraments you have already received:/Sacramentos que ya tienes:
*
Baptism
Penance(Confession)/Penitencia(Confesion)
Eucharist/Eucaristia
a. Baptismal Parish?/ Parroquia de bautizo?
b. Date when you were baptized/ Fecha de Bautizo?
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
c. First Communion Parish?/ Parroquia de primer comunion?
d. Date when you received First Communion/ Fecha de Primera Comunion?
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
3. Please select the Sacraments you are looking to recieve/Selecciona los sacramentos que deseas recibir
*
First Communion/Reconciliation
Confirmation
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4. Current Marital Status./ Estado Marital Actual.
*
I am Single and I have never been Married/Soy soltero/a y nunca me he casado
I am in a relationship and living together/Estoy conviviendo con una persona
I am engaged to be married/ Estoy comprometido/a para casarme
I am married /estoy casado/a
I am married, but separated from my spouse/Estoy casado/a pero estamos separados
I am divorced and I have not remarried/Estoy divorciado/a y no me he vuelto a casar
I am a widow/widower/ Soy vuido/a
a. Your Fiancées/Partners Name/Nombre de su prometido/a-pareja?
b. Your Fiancées Current Religious Affiliation if any/Afiliación religiosa actual de su prometido/a:
a. Your Spouses Name
b. Your Spouses Current Religious Affiliation if any
c. Date of Marriage
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
d. Place of Marriage
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5. Select the class you would like to join/Seleccione la clase que le gustaria
*
ENGLISH SUNDAY 12-1PM
SPANISH SUNDAY 1:30-2:30PM
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Adult Confirmation Donation/ Donacion para Confirmacion de Adulto
$80.00
$
80.00
Credit Card
Submit
Should be Empty: