CONFIRMATION APPLICATION - Epiphany Catholic …
CONFIRMATION APPLICATION NAME OF PERSON TO BE CONFIRMED ________________________________________ ________________________________________ _ (First) (Middle) (Last) ADDRESS_________________________________ _______________________________________ (Street Address) (City) (State) (Zip Code) DATE OF BIRTH_________________________ SCHOOL________________________________ HOME PARISH__________________________ FATHER'S NAME____________________________________ ______________________________ (First) (Last) MOTHER'S NAME____________________________________ _____________________________ (First) (Maiden) TELEPHONE_______________________________ _______________________________________ (Home) (Father's work) (Mother's work) SAINT'S NAME TO BE TAKEN IN CONFIRMATION____________________________ ________ DATE OF BAPTISM_______________________ CHURCH OF BAPTISM_________________________________ _____________________________ ________________________________________ ____________________
DUE August 29th, 2012 A Pledge of Commitment to participate in the Confirmation Program established at Epiphany Church Recognizing that my involvement as a parent is of special importance in helping to
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