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
  •  
Date of Birth //
  •  
Date of Baptism //
  •  
Church of Baptism
  •  
Address of Church of Baptism
  •  
Father's Name
  •  
Mother's MAIDEN Name
  •  
Candidate's Address
  •  
Youth Cell Phone # --
  •  
Youth Email
  •  
PARENT'S INFORMATION
Mother's Cell phone # --
  •  
Mother's Email Address
  •  
Father's Cell Phone # --
  •  
Father's Email Address
  •  
Sponsor Information
Complete Name
  •  
E-mail
  •  
Phone --
  •  
  •  
Name of the Person completing this form
  •  
Parent Signature
  •  
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______________