Confirmation, Reaffirmation & Reception Form

"*" indicates required fields

I am seeking:*

Candidate*

First Middle Last

Date of Birth

I identify as:

Male

Female

Non-binary

Other

Please refer to me as:

She/her

They/them

He/him/his

Other

Place of Birth

City State

Age

Address

Street Address Address Line 2 City State ZIP Code

Daytime Phone Number

Evening Phone Number

Email*

Enter Email Confirm Email

Mother's Name

First Middle Last

Father's Name

First Middle Last

Parent's Address

Street Address Address Line 2 City State ZIP Code

Religious Affiliation of Parents

Date of Baptism

Name of Church

In Which Denomination

Date of Confirmation

Presented By

Bishop/Reverend Confirming

Comments

Name

This field is for validation purposes and should be left unchanged.

Worship:
- 8:00am Said Eucharist In-Person only
- 10:30am Choral Eucharist In-Person and online
Christian Education: 9:30am-10:15am (K-High School)
Adult Forum & Bible Study: 9:30am