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2015 STA Confirmation Registration Form
Confirmation is open to ALL students Sophomore (or above who have not been confirmed). Reserve the date for Confirmation Mass: Wednesday, December 3rd, 2014 7pm
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* Indicates required question
Confirmation Student's First Name
*
First
Your answer
Confirmation Student's Last Name
*
Last
Your answer
Student's School
Your answer
Student's Year in School
Sophomore, Junior, Senior
Your answer
Student Contact Information
Home Address | Cell Phone | Home Phone
ADDRESS
*
Street, City & Zip
Your answer
Student Cellphone
Your answer
Home Phone
Your answer
Student Email
*
Your answer
Father's Contact Information
Home Address (If different than students) | Cell Phone | Home Phone
Father Name
Your answer
Father Address
Street, City & Zip
Your answer
Father Cell Phone
Your answer
Father Home Phone
Your answer
Father Email
Your answer
Mother's Contact Information
Home Address (If different than students) | Cell Phone | Home Phone
Mother Name
Your answer
Mother Address
Your answer
Mother Cell Phone
Your answer
Mother Home Phone
Your answer
Mothers Email
Your answer
Other Adult Contact Information
Home Address (If different than students) | Cell Phone | Home Phone for anyone who would like information about STA's Confirmation program
Name
Your answer
Cell Phone
Your answer
Email
Your answer
Sponsor Information
If you know your who your Confirmation Sponsor will be, enter contact information below.
Does Student Have a Confirmation Sponsor Yet
Yes
No
Clear selection
Sponsor Name
Your answer
Sponsor Email
Your answer
Submit
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