Facebook Flocknote Phone Email

Confirmation Registration Form

- Register for the 2024-25 8th Grade Confirmation Class
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Name of Church Where Family Currently Registered REQUIRED Please fill out this field. Please enter valid data.
  
  Do You Attend REQUIRED Saint Mary Academy G.I.F.T. Program at Saint Bernadette Please fill out this field.
  
  If you are attending G.I.F.T. You must ALSO be registered at https://www.wesharegiving.org/gift
  
  Candidate’s Full Baptismal Name (No Initials Please) REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Parent Email to receive Preparation Updates REQUIRED Please fill out this field. Please enter an email address.
  
  Parent's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Father’s Full Baptismal Name (No Initials Please) REQUIRED Please fill out this field. Please enter valid data.
  
  Mother’s Full Baptismal Name (No Initials Please) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Place of birth (city) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism (day/month/year) REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Church where Baptized REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Please Note: Unless baptized at Saint Bernadette, Mother of Good Counsel, or Transfiguration of Our Lord, we will need verification of your child's Baptism. A scanned copy or picture of their certificate, emailed to [email protected] is acceptable. If the certificate is unavailable, please contact the church of your child's Baptism and ask them to mail a new copy of the certificate to the Parish Office, c/o Children's Faith Formation.
  
  Name of Church where received First Reconciliation REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Church where received First Eucharist REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.