On-line Confirmation Information Form

The following information is required so the Confirmation can be registered in the parish record book. Please complete the form as completely and accurately as possible and click submit at the bottom. Thank you!

* Indicates required field

Student's Baptismal Name (First, Middle, Last) *

Student's Date of Birth (MM/DD/YYYY) *

Street Address *

City & Zip Code *

Father's Name (First, Middle, Last) *

Mother's Name (First, Middle, Last) *

Mother's Maiden Name *

Name of Baptismal Church *

City/State/Zip Code of Baptismal Church *

Date of Baptism (MM/DD/YYYY) *

Saint Name Chosen as Confirmation Name *

Sponsor's Name (First, Last) *

Proxy: If a sponsor is unable to attend the Confirmation rite, the person may still be the sponsor if they fulfill the proper requirements and have a proxy stand in for them. The sponsor should know who will do this for them.

Proxy's Name (First, Middle, Last) *

Submit