2019 Confirmation Application

Please be accurate and use full baptismal names. This information is needed for parish sacramental records. In order to fill out the essay questions for the candidate and parent please complete the form and hit submit. You will receive a confirmation email with links to the essay portion of the application.

If you have any questions please contact Judy Paffilas at (440)526-1686

Teen Info

Name

*

Gender

*

Please select one option.

Male Female

Birth Date

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Grade

*

Please select one option.

9 10 11 12

School

*

Please select one option.

BBHHS Benedictine Hathaway Brown Holy Name Home School Independence Lawrence Lyceum Magnificat Normandy North Royalton Our Lady of the Elms Padua Revere St. Joseph Academy St. Ignatius St. Ed Strongsville Trinity University Walsh Jesuit Other

Parent Info

First Name(Father/Guardian)

*

Last Name(Father/Guardian)

*

Phone(Father/Guardian)

*

Email(Father/Guardian)

*

First Name(Mother/Guardian)

*

Last Name(Mother/Guardian)

*

Phone(Mother/Guardian)

*

Email(Mother/Guardian)

*

Baptismal Records

Baptism Date

*

Church of Baptism

*

Address of Church of Baptism

*

City

*

State

*

Zip

*

Copy of Baptismal Cetificate (please upload a picture of your teen's bapitsmal certificate)

*

Upload (8MB)

Enrollment Fee

Helps cover cost of materials.

Payment

($20) (0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please be accurate and use full baptismal names. This information is needed for parish sacramental records. In order to fill out the essay questions for the candidate and parent please complete the form and hit submit. You will receive a confirmation email with links to the essay portion of the application.

If you have any questions please contact Judy Paffilas at (440)526-1686

Please Fix the Following

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