Adult Confirmation Registration

Date of Registration(Required)

Candidate's Information

Name(Required)

First Last

Gender(Required)

Female

Male

Date of Birth(Required)

Place of Birth(Required)

Cell Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Martial Status(Required)

Please note that if you are Married Civilly, Living together with a partner this can delay the celebration of Confirmation.

Single

Married in the Catholic Church

Married Civilly

Living together(living together with a partner without benefit of the Sacrament of Marriage

Divorced and not remarried or not co-habitating

Sacramental History

Sacraments you have already received:(Required)

Baptism

First Communion

Holy Matrimony

(please provide a copy of certificates of every sacrament received)

Baptism Date

Baptism Parish Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

First Communion Date

First Communion Parish Name

First Communion Parish Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Confirmation Class Preparation

What Language you prefer to take the session(Required)

English

Spanish

Why are you seeking the sacrament at this time.

Consent

Contribution(Required)

We require a $80.00 contribution to cover the expenses of the sacramental preparation and Confirmation Certificate.

I agree to the $80.00 Contribution

Image Disclosure Consent

Permission for Image Disclosure(Required)

Yes, I would like to authorize.

No, I would not like to authorize

Permission for Image Disclosure(Required)

Yes, I DO authorize the Faith Formation department of St. Catherine of Siena Parish, in Kissimmee, FL to take photos, videos or any type of recording to be used in the Parish Bulletin, Parish Website, or any other Parish Form. I wil from any claims, and release all the staff members, volunteers of St. Catherine of Siena Catholic Church in Kissimmee, FL, and/or the Diocese of Orlando, weather former, future, or current, from any and all claims, actions, cause of actions, suits, costs, expenses, liabilities, or/and damages.

Adult Confirmation Registration