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First Year Confirmation Registration Form

- Faith Formation

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- Candidate's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Candidate's Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Candidate's Street 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.
- Home Telephone # Please enter valid data.
- Parent Cell # - Primary REQUIRED Please fill out this field. Please enter valid data.
- Parent Cell # - Secondary Please enter valid data.
- Parent Email Address - Primary REQUIRED Please fill out this field. Please enter valid data.
- Additional Email Addresses
  If you would like to receive email communications at multiple email addresses, kindly add here.
  Please enter valid data.
- Father's Name (First, Last) REQUIRED Please fill out this field. Please enter valid data.
- Mother's Name (First, Maiden, Last) REQUIRED
  Please be sure to include maiden name.
  Please fill out this field. Please enter valid data.
- Candidate's Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Church of Baptism (Parish Name, City, State) REQUIRED
  *If candidate was not baptized at St. Elizabeth Ann Seton Parish, please send copy of Baptismal certificate.
  Please fill out this field. Please enter valid data.
- Date of Candidate's First Eucharist REQUIRED Please fill out this field. Please enter valid data.
- Church of Candidate's First Eucharist REQUIRED Please fill out this field. Please enter valid data.
- Date of Candidate's First Reconciliation REQUIRED Please fill out this field. Please enter valid data.
- Church of Candidate's First Reconciliation REQUIRED Please fill out this field. Please enter valid data.
- Has the candidate successfully completed Religious Education, Grades 1-8? REQUIRED Yes No Please fill out this field.
- If no, please explain and indicate years missed. Please enter valid data.
- Any allergies or medical concerns? Please enter valid data.
- High School that Candidate will attend REQUIRED Please fill out this field. Please enter valid data.
- Small Group Session Preference REQUIRED
  Kindly note: Class placement is not based on previous Religious Education History. Class selection is based on availability and volunteer catechists. It is not always possible to place your teen in the session of his/her choice. Class schedules/assignments will be finalized and emailed in mid-August.
  Sunday, 4:30 pm - 6:00 pm Monday, 7:00 pm - 8:30 pm Please fill out this field.
- Media Release: For your protection and privacy, we at St. Elizabeth Ann Seton Parish ask your permission to potentially use your child’s picture in publications and/or bulletin boards, website, social media, and newspaper. Names will not be posted. REQUIRED Yes, I give my permission to use my child’s picture on the parish/diocesan website/social media, in local newspapers, and/or in parish/diocesan publications/bulletin boards. No, do not use my child’s picture on the church publications. Please fill out this field.
- Registration Fee/Tuition60.0
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St. Elizabeth Ann Seton Roman Catholic Church

61 Main Street, Flanders, NJ

First Year Confirmation Registration Form