Confirmation Registration

* Indicates required field

Candidate's Home Parish *

If 'other' parish, please indicate *

Confirmation Year *

Student's Name *

First

Last

Student's Middle Name *

Student's Email Address *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

Date of Baptism *

Parish Baptized at *

City of Baptism *

Father's Name *

Father's Email Address *

Father's Phone Number *

Mother's Name (first, last, maiden) *

Mother's Email Address *

Mother's Phone Number *

Candidate's High School *

Please indicate any additional information you think we need to know *

The fee for year one is $50 and the fee for year two is $50. You can mail or drop payments off at Holy Ghost Parish c/o Paula Hanson (412 S. Main St. Chippewa Falls, WI 54729). Checks should be made out to your parish with the note “Goldsmith Confirmation Program”.

Submit

CONFIRMATIONREGISTRATION

Confirmation Registration

CONFIRMATION
REGISTRATION