Confirmation Candidate Form (Out of Parish)

This form is used for Confirmation Candidates from out-of-parish who have received permission to participate in the Confirmation Retreat and/or Confirmation Ceremony at Immaculate Conception Catholic Church.

If you would like to be contacted about becoming Catholic through the RCIA program at Immaculate Conception, please complete the form located here: /rcia-registration-form

CONFIRMATION STUDENT INFORMATION

Name of Your Church REQUIRED Please fill out this field. Please enter valid data.

Name of Confirmation Director at Your Church REQUIRED Please fill out this field. Please enter valid data.

I have received previous permission from my church authorities and from Immaculate Conception's authorities to participate in the events checked below. REQUIRED Yes No Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Name you would like to be called Please enter valid data.

Mailing Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Gender REQUIRED Female Male Please fill out this field.

Confirmation Candidate Saint Name REQUIRED Please fill out this field. Please enter valid data.

Student Date of Birth REQUIRED Please fill out this field. Please enter a date.

Student Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

The student will attend the following events: (check all that apply) REQUIRED Confirmation Retreat - March 11 and 12, 2023 Confirmation Ceremony - March 14, 2023 Please fill out this field.

Student Height (for Confirmation Ceremony - Students wear red robes) Please enter valid data.

STUDENT T-SHIRT SIZE (if student attending Confirmation Retreat) Adult Small Adult Mediurm Adult Large Adult X-Large Adult 2XL Adult 3XL

PARENT INFORMATION

Mother Full Name REQUIRED Please fill out this field. Please enter valid data.

Mom Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Father Full Name REQUIRED Please fill out this field. Please enter valid data.

Father Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parent Email (notifications will be sent to this email) REQUIRED Please fill out this field. Please enter an email address.