Student's Name 
                            AS IT WILL APPEAR ON THEIR CONFIRMATION CERTIFICATE

Address      Street: 
                    City:         State:   Illinois AL AK AZ AR CA CO CT DE DC FL GA HI ID IA IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY     Zip Code:   

Phone Number    Area Code: Phone Number:

Date of Baptism       

Church Where Baptized    

Was this a Catholic Church?   YES    NO

Address of Church Where Baptized
                    Street (if known): 
                                    City:         State:   Illinois AL AK AZ AR CA CO CT DE DC FL GA HI ID IA IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY     Zip Code:   

Has your child received:      Eucharist (First Communion) ?  YES    NO
                                                    + At St. Joseph Church?     YES    NO

Parents    Mother's Name (First and Last)   
                 Father's Name  (First and Last)   

PLEASE READ BEFORE COMPLETING SPONSOR  PORTION OF THIS FORM

Sponsors are required to be practicing Roman Catholics and at least sixteen years old.  Parents, already considered the primary faith models for their child, are not eligible to act as sponsors; godparents, however are encouraged as sponsors to signify the strong link between Baptism and Confirmation.

Sponsors are sent information during the year so a COMPLETE and ACCURATE address is important.

Sponsor's Name   
    (First and Last)

Sponsor's Address      
                    Street: 
                    City:         State:   Illinois AL AK AZ AR CA CO CT DE DC FL GA HI ID IA IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY     Zip Code:   

OPTIONAL
If you have selected a Confirmation name, please type it below.  If you have not, please submit this form and you will be asked for a Confirmation name prior to Confirmation.  Thank you.

Confirmation Name:   

Please double check all information for accuracy and completion and then click on the SUBMIT button below.  The information from this form will be sent to the St. Joseph Religious Education Office.  Thank you.