CHURCH OF THE HOLY SPIRIT

PARISH RELIGIOUS EDUCATION 2008-2009

I wish my child to be enrolled in the Confirmation Preparation Program.

STUDENT'S FULL NAME(first, middle, last)__________________________________________________F___M___

PLACE and DATE OF BAPTISM__________________________________________________________

Please attach a copy of the Baptismal Certificate

ADDRESS____________________________________ZIP_____________BIRTH DATE_________________

HOME PHONE___________________WORK PHONE___________________EMAIL____________________

SCHOOL ATTENDING________________________________GRADE_____________

CHECK SACRAMENTS ALREADY RECEIVED:

BAPTISM_______ EUCHARIST______ RECONCILIATION______

NAME OF CHURCH/CATHOLIC SCHOOL ENROLLED IN 2007-2008________________

___________________________________________________________________________

MOTHER'S MAIDEN NAME__________________________________________________________

FATHER'S NAME____________________________________________________________

REGISTERED IN HOLY SPIRIT PARISH? YES NO (CIRCLE ONE)

PARENT'S SIGNATURE _________________________________