Confirmation Registration | Our Lady of Grace Parish

Family Last Name *

Mother / Guardian First Name *

Mother / Guardian Best Contact Number *

Mother / Guardian Email Address *

Father / Guardian Fist Name

Father / Guardian Best Contact Number

Father / Guardian Email Address

Child(ren) reside with *

Both Parents

Mother

Father

Guardian

Street Address *

City, State Zip *

Home Phone Number

1st Child Information

Child's Full Name (First Middle Last - to be used on certificate) *

Child's Nickname or preferred name

School child is attending *

(i.e. 7th District)

Location of Baptism

Date of Baptism (Month/Day/Year)

Child's Email Address (if teenager)

Child's Cell Phone Number (if teenager)

Please check which programs you are registering for:

Confirmation Year #1 (non-Catholic HS) - $150

Confirmation Year #2 - $250

2nd Child Information

Only needed if signing up more than one child at a time

Child's Full Name (First Middle Last - to be used on certificate)

Use LAST name only if different from family name.

Child's Nickname or preferred name

School child is attending

(i.e. 7th District)

Location of Baptism

Date of Baptism (Month/Day/Year)

Child's Email Address (if teenager)

Child's Cell Phone Number (if teenager)

Please check which programs you are registering for:

Confirmation Year #1 (non-Catholic HS) - $150

Confirmation Year #2 - $250

Parent Signature *

Please type full name

Consent *

I agree

By submitting this form, I agree that I have read and completed all information. Additionally, I hereby grant permission for my child(ren) to be photographed and/or videotaped during Religious Eduation, and I allow my child(ren) to participate in Family Life/Create to Love.

Registration is not complete until payment is received. When redirected to Give Central, please create an account so that your payment can be correctly applied to your registration. You will select 'Religious Education Sacramental Preparation' and enter the total due. If you are unable to complete payment at this time, please let us know so that we can help you with the registration process.