Student Name *

First Name

Last Name

Sacraments Already Received: *

Baptism

1st Communion

Confirmation

None

CONFIRMATION for 9-12th Grade Students: *

We would like to invite you to participate in one of our preparation for Confirmation. Confirmation is for 9th-12th graders:

Yes

No

Student Cell Phone (if any)

(###)

###

####

Any Medical Concerns or Allergies we should know about? *

YES

No

Interested in serving at Mass as:

Altar Server

Lector

EM

Music

Parent (main contact) Name

First Name

Last Name

Phone

(###)

###

####

Parent Name

First Name

Last Name

Family Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Adult / Parent Support

We need assistance in all of these areas, please choose at least one area.

Service (4 times per year)

Social (4 times per year)

iGnite (10 lessons per year)

Meal Prep (1 time per month)

Fundraising (as needed)

Special Event (as needed)

Retreats

Camp