Editing previous response:

Please fix the highlighted areas below before submitting.

Confirmation Registration

Please complete the information below and submit this form no later than October 29th, 2023. The fee is $100 -- please make checks out to St. Francis of Assisi Parish, and mail to:

St. Francis of Assisi Parish

Confirmation Registration

P.O. Box 929

Seahurst, WA 98062

Scholarships are available. Questions? Please contact Catherine Szeibert at [email protected].

Required fields marked with an asterisk *

Contact Information

Student Last Name*

Answer required for "Student Last Name"

Student First Name*

Answer required for "Student First Name"

Address*

Answer required for "Address"

Home Phone*

Number Required

Date of Birth*

Answer required for "Date of Birth"

Student Cell Number

Number Required

Student Email address*

Answer required for "Student Email address"

Name of Student's School*

Answer required for "Name of Student's School"

--------------------------------------------------------

Please indicate which Sacraments the student has received:

Baptism*

Answer required for "Baptism"

Yes

If Yes, please list Church and Date:

Answer required for "If Yes, please list Church and Date:"

First Communion*

Answer required for "First Communion"

Yes

If Yes, please list Church and Date:

Answer required for "If Yes, please list Church and Date:"

ALL CONFIRMANDI MUST HAVE A COPY OF THEIR BAPTISMAL CERTIFICATE

Please email a copy of the certificate to Catherine Szeibert at [email protected].

--------------------------------------------------------

Student lives with:*

Answer required for "Student lives with:"

Father's Contact Information

Full Name*

Answer required for "Full Name"

Religion*

Answer required for "Religion"

Cell Phone*

Number Required

Email*

Answer required for "Email"

Mother's Contact Information

Full Name*

Answer required for "Full Name"

Religion*

Answer required for "Religion"

Cell Phone*

Number Required

Email*

Answer required for "Email"

Mother's Maiden Name*

Answer required for "Mother's Maiden Name"

If Student lives part-time with another parent, please list address here:

Answer required for "If Student lives part-time with another parent, please list address here:"

Registered in the Parish?*

Answer required for "Registered in the Parish?"

Yes

No - Please send us registration packet!

Confirmation Email

Answer required for "Confirmation Email"