Welcome to Ladue Chapel Confirmation Registration 2017-2018!
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Confirmand's Name *

 
Birthday *

 
Has the Confirmand been Baptized? *

     
 
If Baptized, When?

 
If Baptized, where? (Please provide the name of the congregation)

 
Confirmand's cell phone

 
School Confirmand will be attending as of Sept. 2017 *

 
School/Community Activities (include sports)

 
Favorite subjects in school?

 
Other special interests, activities, things to do outside of school?

 
1 Parent/Guardian Name *

 
2 Parent/Guardian Name

 
1 Home address

 
1 Home Phone

 
2nd Home Address (if needed)

 
2 Home Phone

 
1 Parent/Guardian Cell phone # (Please provide name/relationship to confirmand) *

 
2 Parent/Guardian Cell phone # (Please provide name/relationship to Confirmand)

 
1 Parent/Guardian Email Address (Please provide name/relationship to Confirmand) *

 
2 Parent/Guardian Email Address (Please provide name/relationship to Confirmand)

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