2024/2025 Confirmation Registration Confirmation Preparation Question Title * 1. Information about the teen receiving Confirmation: Name(1st, Middle, Last) Age: Date of Birth: Place of Birth (City, State): Gender: Date of Baptism: Name of Baptismal Church: Place of Baptism:(City, State, Zip code): OK Question Title * 2. Parent Information: Father's Name(1st, Middle, Last): Religion: Mother's Name(1st, Middle, MAIDEN NAME): Religion: Address: City: State& Zip: Email Address: Work Phone: Home Phone: OK Question Title * 3. Received 1st Eucharist? Yes/No Date: Church(City & State): OK Question Title * 4. Registered at Church of St. Therese?(If not, please fill out and turn in a registration form to office) Yes No OK Please provide a copy of Baptismal Certificate with notations that include date and place of First Eucharist by January 1, 2025.Please provide a copy of the SPONSOR ELIGIBILITY Form by January 1, 2025.Participation in workshops constitutes your permission for your photograph or likeness to be used on our church website or for publicity purposes. OK Question Title * 5. FOR OFFICE USE ONLY: Name of Priest/Deacon: Information recorded in Confirmation Register: In Computer: OK Question Title * 6. Are you interested in becoming a volunteer catechist or assistant? Yes No If yes, please specify any preferences (grade level, assistant only, etc.) OK DONE