2023-24 Confirmation Registration Form

Confirmand Information

Goes by Name*

Date of Birth*

Place (City, State) of Birth*

City, State, Country (if not USA)

Current Grade*

High School Graduation Year*

Name of School Currently Attending*

Date of Baptism*

Baptism is required for Confirmation. Please place all zeros in this field if the confirmand has yet to be baptized. Elliot VanHoy will contact you about baptismal preparation.

Church of Baptism*

Confirmand Cell Phone*

Please be sure to give us the confirmand's phone number (and not a parent's number). Texting will be a key communication mode for the program.

With whom does the Confirmand reside?

Medical Information

Additional information about the Confirmand:

Mentor (Name, Email, Cell Phone)

Each confirmand is asked to select their own mentor for the length of the program. (It is the perfect opportunity for a Godparent to serve in this capacity.) This mentor should be a local adult who has an active spiritual life and is willing to share their faith. This person should not be a parent or step parent of the confirmand. If you would like assistance selecting a mentor or have additional questions, please indicate that in the space above. The scope of commitment is at lease three meetings, participation in three Sunday classes, and presence at Confirmation Vigil (June 1) and Confirmation (June 2). You may also contact Elliot VanHoy for additional information - evanhoy@stdavidschurch.org.

Parent/Guardian #1 Information

Parent/Guardian 1 Cell Phone*

Texting will be a key notification mode for parents/guardians, in addition to emails.

Parent/Guardian 1 Email*

Parent/Guardian #2 Information

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Email

Emergency Contact (Non-Parent)

Emergency Contact Phone*

Emergency Contact Phone Alt

Relationship to Proposed Confirmand*