St Joseph's Catholic Church

Jacksonville, FL

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Adult Confirmation Registration Form

- Ministries

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- ADULT CONFIRMATION
  Diocese of St. Augustine
  St. Joseph's Parish
  Based on the revised 6/1/2012 paper form
- FYI: St. Joseph's Parish adult confirmation applicants are confirmed in the Cathedral Basilica of St. Augustine.
- Name of your current parish: REQUIRED Please fill out this field. Please enter valid data.
- The emails provided herein will be used to provide candidates and sponsors with "day of" instructions.
  
  We also provide notification to baptism parish that the sacrament has been conferred as prescribed by Canon Law. Be certain of such information.
- Candidates full name (include maiden name if applicable) REQUIRED Please fill out this field. Please enter valid data.
- Confirmation Name (one name only) Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Date of Baptism Please enter a date.
- Date/Year of First Reconciliation Please enter valid data.
- Date/Year of First Eucharist Please enter valid data.
- If married, then candidate is in a valid marriage as defined by the Catholic Church (verification is required).
- Current 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.
- Candidate's Email REQUIRED Please fill out this field. Please enter an email address.
- Candidate's Daytime Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Church of Baptism Please enter valid data.
- Church of Baptism Complete Address Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Father's Full Name Please enter valid data.
- Mother's Full Name (include maiden name) Please enter valid data.
- Confirmation Sponsor's Full Name Please enter valid data.
- Confirmation Sponsor's Email Please enter an email address.
- Would you like to receive confirmation that your information has been submitted and recorded? If so then please supply the email address to recieve an email about your submittal. Please enter an email address.
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