Confirmation Registration

Name of Student REQUIRED Please fill out this field. Please enter valid data.

Student's Grade in 2023-24 REQUIRED Please fill out this field. Please enter valid data.

Mother's Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Email REQUIRED Please fill out this field. Please enter valid data.

Mother's Cell Phone REQUIRED Please fill out this field. Please enter valid data.

Father's Name REQUIRED Please fill out this field. Please enter valid data.

Father's Email REQUIRED Please fill out this field. Please enter valid data.

Father's Cell Phone REQUIRED Please fill out this field. Please enter valid data.

Information should be sent to: REQUIRED Mother Father Both Please fill out this field.

Has your child received Baptism and First Holy Communion REQUIRED Yes No Please fill out this field.

Childcare is available for siblings in pre-school through elementary. Will you need childcare? REQUIRED Yes No Please fill out this field.

IF Childcare is needed, please include the names and ages of children for childcare.

Please include any other information you would like us to know, including medical conditions, special needs, custodial arrangements, etc...

Do you need instruction or materials in a language other than English? No Yes - Instruction and Materials in Spanish Yes - Materials in Spanish Yes - in a Language Other Than English or Spanish