Programs & Organizations   >   Sacramental Preparation   >   Adult Confirmation   >   Registration Form

Please fill out the following information. All information is kept confidential. This information will help us better serve you and plan sessions for your preparation. Thank you.

Name
Last:*
First:*
Middle:
Preferred Name:
Permanent Address
Street:*
City:*
State:*
Zip:*
Phone:*
E-mail:*
Current Address (if different from Permanent Address)
Street:
City:
State:
Zip:
School Status
I am currently a:*	Freshman Sophomore Junior Senior Graduate Student Not a Student
My anticipated date of graduation (if applicable) is:
Marital Status/History
I am currently:*	please check ALL that apply Single Married
	Divorced Separated
	Engaged to be Married
	Not married, but living with significant other
If married, is your spouse Catholic?	Yes No
Church where you were married:
If you were not married in the Catholic Church, who married you?	ex: Minister, Judge, J.P
Have you or your spouse had a previous marriage?	Yes No
If engaged, Fiancee's name:
Is your fiancee Catholic?	Yes No
Church where you plan to be married:
Expected date of wedding:
Where and with whom (priest or deacon) are you doing marriage preparation?
Religious Background
Have you ever been baptized?*	Yes No
Have you received First Communion?*	Yes No
Have you ever gone to Confession?*	Yes No
Have you ever attended Religious Education in the Catholic Church? (CCD, CCE, Sunday School):	Please indicate years you attended, ex: Pre-K, K, 1, 2, 3,....
Did you ever attend Catholic School?	Please indicate years you attended, ex: Pre-K, K, 1, 2, 3,....
What type of adult Christian experience have you had?	check all that apply Regular church attendance
	Bible Study
	Prayer Group
Other (please specify):
Briefly describe your experience with the Catholic Church up to this point (frequency of attendance at Mass, exposure to Catholic teaching, parent's beliefs and/or practice of the faith, etc.):*
Who or what has led you to come to Confirmation sessions at this time?*
How would you describe your current thoughts and feelings about the Catholic Church?*	check all that apply I have been actively practicing my Catholic faith as an adult and i am excited about being Confirmed.
	I have many questions about my Catholic faith and am eager to learn and understand more.
	I have many concerns about being Catholic and need help deciding if this is what I want.
	I am not certain I want to be Confirmed, but feel as if I should or need to (in order to please a parent or spouse, etc.)
	I was baptized Catholic, but have never received the Sacraments of Confirmation or First Holy Communion.
	I grew up Catholic, but left the Catholic Church; now I am thinking about returning.
	I am just now beginning to practice my Catholic faith as an adult and I am eager to learn more.
Is there any other information you feel would be helpful for the staff to have?*
Security Code*	(Enter the code above)