Confirmation_Candidate_Form | Francis and Joseph

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Confirmation Candidate Information Form

St. Joseph & St. Francis Xavier

Teen Candidate Information

Full legal name as it appears on their birth certificate*

First, Middle, Last

Allergies

Multi-line address

Country/Region

Address

City

Zip / Postal code

Birthday*

Age

Grade

School

Parent or Guardian Information

Father or Legal Guardian's Name

Parish Registered

St Joseph

St Francis Xavier

Other

Primary Phone*

Permission to Text?

Yes

No

Email*

Mother or Legal Guardian's Name

Parish Registered

St Joseph

St Francis Xavier

Other

Primary Phone*

Permission to Text?

Yes

No

Email*

Sacramental Information

Please be very detailed with this information- especially if your teen was baptized in another country

Date of Baptism

Baptismal Name (if different from current name)

Place of Baptism / Name of the Church

Address of Baptism

Country/Region

Address

City

Zip / Postal code

Date of First Communion

Church of First Communion

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St. Joseph Catholic Church

800 West Stanton St.,
Roseburg, OR 97471
541-673-5157

St. Francis Xavier Church

323 N Comstock Ave.,
Sutherlin, OR 97479
541-673-5157

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Name*

Enter your email here*

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