On the day of your Confirmation ceremony, record the ACTUAL number of confirmed.

Answer all applicable questions and click "SUBMIT" to send your confirmation record.  Do Not print, mail, email, fax or give your Confirmation Record information to the Officiating Prelate.

Parish:

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* 1. Parish:

City:

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* 2. City:

Date of Confirmation:

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* 3. Date of Confirmation:

Date
Date of PREVIOUS Confirmation:

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* 4. Date of PREVIOUS Confirmation:

Date 
Officiating Prelate:

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* 7. Officiating Prelate:

TYPE NAME of person ATTESTING to the VALIDITY and ACCURACY of the detailed Confirmation information above (Click DONE to submit):

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* 8. TYPE NAME of person ATTESTING to the VALIDITY and ACCURACY of the detailed Confirmation information above (Click DONE to submit):

Additional comments or notes:

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* 9. Additional comments or notes:

T