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Confirmation

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  *Child must be in Faith Formation for 2 consecutive years to be eligible to receive the Sacrament of First Holy Communion
  *Must register and attend Edge or Life Teen
  
  Child's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Shirt Size Please enter valid data.
  
  First or Second Year? First Second
  
  Parent's Information
  
  Mother's Name Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Address REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Father's Name Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Address REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Emergency Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship Please enter valid data.
  
  Registration Fee
  $75.00
  Registration fee to be paid following submission of this form.
  
  Submit
  
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