Confirmation Sacramentary Information Form

2022-23 Confirmation Sacramentary Information

"*" indicates required fields

Will you be using a debit/credit card to pay for your student's Confirmation Sacramentary fee?

Yes

Not Paying by Credit Card

Please contact the Religious Education Office to schedule an appointment to sign up for Confirmation in person.

Krystal @ 715-736-3104
Rachael @ 715-736-3105

Candidate Information

The following information is needed for the Confirmation Candidate receiving the Sacrament.

Full Name*

First Middle Last

Date of Birth*

City and State of Birth*

Gender*

Male

Female

Full Baptismal Name*

First Middle Last

Date of Baptism*

Name of Church along with City & State of Baptism*

Mother's Full Name*

First Middle Last Maiden Name

Father's Full Name*

First Middle Last

Address*

Mailing City State ZIP Code

Best Phone Number to reach you at*

Best Email to reach you with*

Which Cluster Parish is your family registered with?*

Holy Trinity, Haugen

Our Lady of Lourdes, Dobie

St John the Evangelist, Birchwood

St Joseph, Rice Lake

We are not registered in this Cluster

Signature of person submitting information*

Print name of signature*

First Last

Date*

Checkout / Payment

Would you like to cover the Credit Card Fees?*

Credit Card Processing Fee

Price: $0.00

Confirmation Sacramentary fee*

Price:

Subtotal

$0.00

Credit Card

Card Details

Cardholder Name

Name

This field is for validation purposes and should be left unchanged.