Confirmation Registration

PLEASE PRINT CLEARLY ON FORM - PLEASE FILL OUT FORM COMPLETELY WE OFFER THIS PROGRAM TO CHILDREN GRADE 6 AND UP

Child’s Full Name(Required)
First Middle Last
Male or Female(Required)
Date of Birth(Required)
MM slash DD slash YYYY

Place of Birth(Required)
Date of Baptism(Required)
MM slash DD slash YYYY

Parish of Baptism(Required)
Address for Parish of Baptism(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Child's Home Address(Required)
Street Address Address Line 2 City Province Postal Code

School Attending:(Required)
(If OTHER, please specify):(Required)
Grade:(Required)
Please enter a number from 0 to 12.
Father's Information
FATHER’S NAME:(Required)
First Middle Last
Father's Religion(Required)
(If OTHER, please specify):(Required)
Mother's Information
MOTHER’S NAME:(Required)
First Middle Last
Maiden Name: (as it appears on birth certificate)(Required)
Mother's Religion(Required)
(If OTHER, please specify):(Required)
Email 1 (required for all communications)(Required)
Enter Email Confirm Email

Email 2 (required for all communications)(Required)
Enter Email Confirm Email

CELL PHONE #:(Required)
More Information Required
Candidate was baptized at St. Patrick's Parish?(Required)

Yes

No
REQUIRED: UPLOAD COPY OF BAPTISM CERTIFICATE(Required)
Please upload a copy here.

Drop files here or

Accepted file types: jpg, png, pdf, gif, Max. file size: 100 MB, Max. files: 3.

REQUIRED: UPLOAD COPY OF BIRTH CERTIFICATE(Required)
Please upload a copy of your child's birth certificate here. .

Drop files here or

Accepted file types: jpg, png, pdf, gif, Max. file size: 100 MB, Max. files: 3.

REQUIRED
The following Sacraments are required before Confirmation. If your child has not yet celebrated these, please contact the Sacrament Coordinator via email at sacraments@stpatrickcalgary.com
Candidate has received FIRST COMMUNION?(Required)

Yes
Candidate has completed FIRST RECONCILIATION?(Required)

Yes
We attend Mass at ST. PATRICK’S PARISH:(Required)

Yes

No

(If not, please indicate parish):(Required)
Would you like to Pay Online?(Required)

Yes

No
Confirmation Registration Fee Quantity(Required)

Price: $ 50.00 CAD

Total

Credit Card
Card Details
Cardholder Name

Confirmation Registration Form

Father's Information

Mother's Information

More Information Required

REQUIRED