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CONFIRMATION APPLICATION - Epiphany …

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_____ _____ (City) (State) (Zip Code) NOTE: All CCD students and students from any school other than Epiphany must submit a photocopy of their Baptismal Certificate to the Religious Educati

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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