Confirmation Prep Registration

If you have questions about registration for Confirmation Prep at Holy Cross, DeWitt, please contact Steve Nepil at steve@holycrossdewitt.org

Parent Information

Parent Name

*

Phone

*

Email

*

This address will receive a confirmation email

Address

*

Marital Status

*

Please select one option.

Single Catholic Marriage Married Widow/Widower Separated Divorced

Religion

*

Please select one option.

Catholic Christian (non-Catholic) Non-Christian None

Parent 2 Name

Parent 2 Phone

Parent 2 Email

Parent 2 Address (if different)

Parent 2 Religion

Please select one option.

Catholic Christian (non-Catholic) Non-Christian None

Student Information

Student Name

*

Middle Name

*

Preferred Name

Phone

Sex

*

Please select one option.

Male Female

Birthdate

*

Current Grade

*

Please select one option.

1 2 3 4 5 6 7 8 9 10 11 12

School

*

Please select one option.

Bishop Grimes Bishop Ludden CBA ESM FM Holy Cross Homeschool Immaculate Conception JD - High School JD - Middle School JD - Jamesville Elementary JD - Moses Dewitt JD - Tecumseh MPH North Syracuse SCSD Westhill West Genesee Other

T-Shirt Size

*

Please select one option.

Youth Small Youth Medium Youth Large Youth XL Adult Small Adult Medium Adult Large Adult XL Adult XXL

Allergies/Special Needs

Sacramental Record

Baptism

*

Please select one option.

Received at Holy Cross, DeWitt Received at St. Mary's, Jamesville I will provide sacramental certificate

First Penance

*

Please select one option.

Received at Holy Cross, DeWitt Received at St. Mary's, Jamesville I will provide sacramental certificate

First Eucharist

*

Please select one option.

Received at Holy Cross, DeWitt Received at St. Mary's, Jamesville I will provide sacramental certificate

Friend Requests

Please list names of up to two (2) friends participating in the program to be included in your Confirmation Group

Friend 1

Friend 2

Emergency Contact

Name

*

Phone

*

Relationship

*

Payment

Registration Fee

Pay by credit card ($125) Pay by check (0) Scholarship

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

If you have questions about registration for Confirmation Prep at Holy Cross, DeWitt, please contact Steve Nepil at steve@holycrossdewitt.org

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