2014 Confirmation Registration

Please return by August 29 along with JUMMP registration form and $60 fee
(Checks payable to JUMMP)

Candidate Information
Candidates Full Name (First, Middle, Last)

Candidates Confirmation Name (Must be the name of a saint recognized by the Roman Catholic Church)

Street Address

Email Address

Fathers Full Name (First, Middle, Last)

Mothers Full Name (First, Middle, Last, Maiden)

Phone Numbers (Home, Candidates Cell, and Parents Cell) Parish of Membership (circle): St. Joseph St. Margaret Mary St. Patrick Junior Other _________ Senior Other __________

Which grade will you be in during the 2013-2014 year? (Circle) Sophomore Which high school do you attend? (Circle) TH North TH South

West Vigo

Parish where Baptized (Name and Location of Parish City, State)**

Date of Baptism (Month, Day, Year) **If you were not baptized at St. Joe, St. MM, or St. Pat please provide a copy of your baptismal certificate**

Sponsor Information (Parents may NOT be their childs sponsor for Confirmation)
Sponsors Full Name (First, Middle, Last)

Sponsors Parish (Name and Location of Parish City, State) Continued on back

2014 Confirmation Registration

Please return by August 29 along with JUMMP registration form and $60 fee
(Checks payable to JUMMP) Acknowledgement/ Permission: Candidates, please acknowledge that you have read and understand the JUMMP confirmation policy and wish to receive the Rite of Confirmation:

Signature:

Date:

Parents, please acknowledge that you have read and understand the JUMMP confirmation policy and wish for your child to receive the Rite of Confirmation:

Signature:

Date: