Teen Confirmation Registration 2020-2021

CTK Confirmation Registration Form 2020-2021

Student Name*
First Middle Last
Suffix
Suffix
Gender*
Home Address*
Street Address Address Line 2 City State ZIP Code
School*
Other:
Grade:*
Date of Birth*
MM slash DD slash YYYY
Sacrament Information
**IF the Church of Baptism is outside of the USA, please provide the mailing address in the space below.
Baptism Parish Name
Baptism Date
MM slash DD slash YYYY
Baptism Parish Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
First Communion Parish Name
First Communion Date
MM slash DD slash YYYY
Religious Education of the Student:
It is the policy of the Diocese of St. Petersburg that all candidates be enrolled in a Parish Religious Education program, or attend a Catholic school, for two consecutive years prior to the reception of the Sacrament. Indicate below where your child has received their religious education.
Current Year: 2020-2021 Parish / School:
City / State:
Remote Year: 2019-2020 Parish / School:
City / State:
Parent Contact Information - please review
Parent e-mails indicated below will be the primary source of communication from Religious Education office.
Mother's Name:
Maiden Name:
Religion:
Mother's Contact #:
Mother's Email:
Father's Name:
Religion:
Father's Contact #:
Father's Email:
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Media Release*
- Yes
- No
I hereby give permission for my child’s picture (note: child's name will never be printed) to be included in parish media (bulletin, email, etc).
Consent*
- I have reviewed all information on this form, made all necessary changes and added all missing information.
- As parents, we agree that it is our responsibility to teach and model the Catholic faith to our children. We promise to attend weekly Sunday Mass, or Saturday Vigil Mass, with our children.

CTK Confirmation Registration Form 2020-2021

Sacrament Information

Religious Education of the Student:

Parent Contact Information - please review

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