Confirmation Graduating Class of 2023

Teen Information

Full Name

Middle Name

Nick Name

Birthdate

Phone

Grade

Address

Sex

School

Please Upload a recent photo of Candidate (helps learn names!)

Upload (8MB)

Parent/Guardian Information

Mother's Full Name

Mother's Cell Phone

Mother's Address (if different)

Father's Full Name

Father's Cell Phone

Father's Address (if different)

For some reason Outlook cannot send emails to WINDSTREAM email accounts (they ALL bounce back as spam). If you would like to ensure delivery of all email updates from Life Teen, please enter an email address that is NOT @windstream

Parent Email

This address will receive a confirmation email

Second Parent Email

Baptismal Records

Candidate received the following Sacraments AT St. Mary Hudson

Baptism First Communion NONE

Date of Baptism

Parish of Baptism

COMPLETE Mailing Address of Baptism

Photo/Scan of Baptismal Certificate (UNLESS Candidate was baptized at St. Mary Hudson)

Upload (8MB)

Information regarding Confirmation

Candidate is intersted in enrolling in the Discipleship Track of Confirmation (see info sheet online for track details)

Interested In Discipleship Track Not Interested in Discipleship Not Sure at this time

Approx. # of times per year Candidate attends Mass

60 + (weekends, holy days, some daily mass) 52 (weekends only) 30-50 10-30 less than 10

How interested in Candidate in this process? (Answer Honestly!)

Why?

In Small Group Discussion, are you...

Why do you wish to be Confirmed?

*notes for office use only*

Fees (includes cost of ONE retreat Junior year)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Confirmation Spring 2022

Confirmation Enrollment (Grad Class 2023)

ALERT: You will need 1) Candidate's Baptismal date and address of Baptismal Parish, 2) a picture/scanned document of Baptism Record if NOT Baptized at St. Mary Hudson and 3) A recent photo of teen to complete this form. Collect all information you need before proceeding with enrollment!

Please visit our Confirmation Preparation Information sheet for any and all questions before enrolling candidate. Form can be found on our website, www.lifeteenhudson.com/confirmation

For any questions, please contact Jenn Martin at the Life Teen Office
330-653-8118 ext 253 --- jmartin@stmaryhudson.cc
Financial Assistance or Payment Plans ARE available, email Jenn to find out more!

Confirmation Graduating Class of 2023

Description

Please Fix the Following