- Confirmandi Data Form -

 

First Name ______________________________________

 

Middle Name ___________________________________

 

Last Name _______________________________________________

 

Nick Name  ______________________________________________

 

Address __________________________________________________

 

City, State, Zip ____________________________________________

 

Birthday  _________________________________________________

 

Sex   [  ] Female    [  ] Male

 

Home Phone _____________________________________________

 

Cellular Phone ___________________________________________

 

Pager ____________________________________________________

 

E-mail ___________________________________________________

 

School __________________________________________________

 

Grade __________________________________________________

 

Page 1

~ Please fill out reverse side ~

- Confirmandi Data Form -

(Continued)

 

Sacraments Received:

Baptism ____      Reconciliation ___   Eucharist ___

 

 

Church of Baptism _______________________________________

 

Address _________________________________________________

 

City, State, Zip ___________________________________________

 

~ Attach a copy of your Baptismal Certificate ~

 

 

Saint’s Name ____________________________________________

 

~ Attach your 250 word essay describing your saint ~

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2

~ Please fill out reverse side ~
- Parent / Guardian Data Form -

Father’s Full Name __________________________________

 

Address ____________________________________________

 

City, State, Zip _______________________________________________

 

Home Phone ________________________________________________

 

Cell / Pager _________________________________________________

 

Work Phone _________________________________________________

 

E-mail _______________________________________________________

 

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

 

Mother’s Full Name __________________________________________

 

Mother’s Maiden Name ______________________________________

 

Address _____________________________________________________

 

City, State, Zip _______________________________________________

 

Home Phone ________________________________________________

 

Cell / Pager _________________________________________________

 

Work Phone _________________________________________________

 

E-mail _______________________________________________________

 

- Sponsor / Faith-Partner Data Form -

Sponsor’s Full Name  ________________________________

 

Address ____________________________________________

 

City, State, Zip _______________________________________________

 

Home Phone ________________________________________________

 

Cell / Pager _________________________________________________

 

Work Phone _________________________________________________

 

E-mail _______________________________________________________

 

~ Attach Sponsor Certificate ~

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

 

Faith-Partner’s Full Name _____________________________________

 

Address _____________________________________________________

 

City, State, Zip _______________________________________________

 

Home Phone ________________________________________________

 

Cell / Pager _________________________________________________

 

Work Phone _________________________________________________

 

E-mail _______________________________________________________

 

~ Attach Faith-Partner Certificate ~