On the day of your Confirmation ceremony, record the ACTUAL number of confirmed.

Answer all applicable questions and click "SUBMIT" to send your confirmation record.  Do Not print, mail, email, fax or give your Confirmation Record information to the Officiating Prelate.

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* 1. Parish:

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* 2. City:

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* 3. Date of Confirmation:

Date

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* 4. Date of PREVIOUS Confirmation:

Date

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* 5. ACTUAL number of CONFIRMED Boys and Girls

  Public School Catholic School
BOYS
GIRLS

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* 6. ACTUAL number of CONFIRMED Men and Women

  Converts Other Adults
MEN
WOMEN

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* 7. Officiating Prelate:

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* 8. TYPE NAME of person ATTESTING to the VALIDITY and ACCURACY of the detailed Confirmation information above (Click DONE to submit):

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* 9. Additional comments or notes:

T