St. Christopher Confirmation Registration Sheet

ST. CHRISTOPHER CONFIRMATION REGISTRATION SHEET

Candidate’s Name (First Middle Last):______

Father’s Name (First Last):______

Mother’s Name (First Last Maiden):______

Candidate’s Email: ______

Parent’s Email: ______

Candidate’s Address: ______

City: ______Zip: ______

Phone Number for parent(s):______Text? Y or N

Candidate Cell Phone number:______Text? Y or N

School: ______Grade:__9 __10 __11 __12

Place of Baptism: ______

(If you were not baptized at St. Christopher, we must have a copy of your baptism record.

You cannot be Confirmed without a copy in our office. Any copy you turned in for 1st communion or the school is not available)

Birth Date: ______Place of Birth (city, state):______

Cost: $0

Sponsor information: Sponsor must be over the age of 18, Confirmed catholic in good standing with the church

Saint name Information: Candidate must select one confirmation saint name. Must be a recognized saint of the Catholic Church.

The selection of the sponsor and saint name is due at a later date.

EMERGENCY INFORMATION FORM

In case of emergency, please contact:

First Contact Person Second Contact Person

(Parent/Guardian) (Other than Parent)

Name: ______Name: ______

Relationship: ______Relationship: ______

Phone (hm) ______Phone (hm) ______

Phone (cell) ______Phone (cell) ______

If unable to reach any of the authorized parties, St. Christopher parish has permission to authorize needed medical treatment for the duration of the program.

Parent/Guardian Signature ______Date ______

Parent/Guardian Signature ______Date ______

I understand that from time-to-time images (photographs, videos, etc.) of my child may appear without specific identifying information in school or parish publications, brochures, programs, or on websites unless I object in writing (such objections cannot be construed to include “crowd shots” in public settings such as athletic events, youth rallies and other such events over which the school/parish may not have overall control). The use of images with identifying information shall require specific parental permission before publication.

______

Parent Signature