Confirmation Registration

Which parish are you registered at? REQUIRED Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Select One REQUIRED Please fill out this field.

Home Address REQUIRED Please fill out this field. Please enter valid data.

City & Postal Code REQUIRED Please fill out this field. Please enter valid data.

Date of Birth - DD/MM/YYYY REQUIRED Please fill out this field. Please enter valid data.

Parish where child was baptized REQUIRED Please fill out this field. Please enter valid data.

Date of Baptism - DD/MM/YYYY REQUIRED Please fill out this field. Please enter valid data.

If not baptized at Sacred Heart, St. Joseph or St. Paul, a copy of the baptismal certificate is required

If Other, please indicate below which parish you are registered at. REQUIRED Please fill out this field. Please enter valid data.

Grade Level REQUIRED Please fill out this field. Please enter valid data.

Child's School REQUIRED Please fill out this field. Please enter valid data.

Teachers Name REQUIRED Please fill out this field. Please enter valid data.

Confirmation Sponsor Name Please enter valid data.

Father's Name REQUIRED Please fill out this field. Please enter valid data.

Religion REQUIRED Please fill out this field. Please enter valid data.

Primary Number REQUIRED Please fill out this field. Please enter valid data.

Email Please enter valid data.

Address (if different from child's) Please enter valid data.

Mother's Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Religion REQUIRED Please fill out this field. Please enter valid data.

Primary Number REQUIRED Please fill out this field. Please enter valid data.

Email Please enter valid data.

Address (if different from child's) Please enter valid data.

Primary Contact REQUIRED Father Mother Please fill out this field.

Has your child recived the following? REQUIRED First Reconciliation First Communion Please fill out this field.

If you are registred at another parish, all sacraments should be celebrated in your own parish.

A copy of your child's BAPTISMAL CERTIFICATE MUST BE INCLUDED with this registration form (unless baptized at St. Paul, St. Joseph or Sacred Heart).

Many volunteers are needed to successfully run these programs. Please indicate if you are able to help us, and if so, in which area.

I can help REQUIRED As a group leader for the retreat Wherever I am needed No, I am not able to help at this time Please fill out this field.

Please select ONE of the following groups to complete your Sacramental Preparation REQUIRED GROUP A - ENGLISH GROUP B - BILINGUAL Please fill out this field.

Comments/Questions

Media Consent/Release: I consent that my child may be included in pictures/videos that may be placed on the parish website, Social Media pages, PowerPoint or promotional materials used in the parish. REQUIRED I Agree I Disagree Please fill out this field.

LaSalle River Canard Catholic Family of Parishes

La Famille de Paroisses Catholiques LaSalle Rivière-aux-Canards

Confirmation Registration