Confirmation Registration Form

Your Family must be a registered parishioner of St. Pius X Parish to receive a Sacrament here.

Registration Fee: $50 (includes materials and retreat)
You can pay by check made to St. Pius X Church and add on the memo: Confirmation+Candidate's name, or by using PayPal on our home page.

Candidate's Information
Candidate's Baptismal Name
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Date of Birth //
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Date of Baptism //
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Church of Baptism
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Address of Church of Baptism
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Father's Name
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Mother's MAIDEN Name
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Candidate's Address
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Youth Cell Phone # --
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Youth Email
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PARENT'S INFORMATION
Mother's Cell phone # --
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Mother's Email Address
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Father's Cell Phone # --
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Father's Email Address
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Name of the Person completing this form
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Parent Signature
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Message You must provide a copy of your child's baptismal certificate if he/she was NOT baptized at St. Pius X Church. Once you submit this form, registration is not complete until payment is received in the parish office.
BC___Sponsor Form____St.Project___Retreat___
SACRAMENT REGISTRATION ParishSoft______________BC Record/Send Not. _____________ Confirmation Record___________ Certificate___________ Registration Card______________