Confirmation Registration

Home » Confirmation Registration

High school students are invited to prepare for and receive Confirmation at any point during their high school years. We ask that you choose a year with a schedule that allows you to make the commitment to attend all of the preparation sessions and to focus on what role your faith and the Church play in your life.

Confirmation will take place on Saturday, June 1st, 2013 at the 5pm Mass.

Preparation sessions will be held on Sundays in May after the 11:15 Mass. More info and registration will be available after the New Year, 2013.

For more information about the Sacrament of Confirmation, please contact Russ Petrus, Pastoral Associate, russpetrus@gmail.com.

Confirmation Registration Form

Please fill out this form to formally register for Confirmation. Please note that you will need the date of your Baptism to complete the form. You will also need the address of the Church of Baptism, if you weren’t Baptized at St. Dominic.

If you have questions or concerns about this form, the preparation process or the Sacrament of Confirmation itself, please contact Russ Petrus, Pastoral Associate, by email at russpetrus@gmail.com or by phone at 216-991-1444.

1 Information About the Person to be Confirmed

2 Information About Parents

3 Sacramental History

First Name (of person to be Confirmed)*
Middle Name (of person to be Confirmed)*
Last Name (of person to be Confirmed)*
Date of Birth*

MM

DD

YYYY
Gender
- Male
- Female
Address*
Street AddressAddress Line 2City

StateZip Code
Phone number*
Enter a valid email address that gets read often*
Enter EmailConfirm Email

Mother's First Name*
Mother's MAIDEN Name*

We need your mother’s maiden name for accurate recording on the Baptismal Record.
Father's First Name*
Father's Last Name*

Were you Baptized at St. Dominic Church?*
- Yes
- No
What is the name of the church you were baptized at?*
Address of Church of Baptism*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code

Country
Date of Baptism*

MM

DD

YYYY
Did the person to be confirmed receive First Communion at St. Dominic?*
- Yes
- No

Not a member yet? Register now and get started.

Sign in to your account.

Confirmation Registration

Confirmation Registration Form