Text Box: St. Margaret Mary Catholic Church
Confirmation 2009
High School Confirmation Registration

Last Name: _________________________ First Name: _____________________ Middle: ___________

Father’s Full Name: ______________________________________________________________________

Mother’s Full Maiden Name: _______________________________________________________________

Address: ______________________________________ City: _______________________ Zip: _________

Home Phone: ____________________________ E-mail: _________________________________________

Date of Birth: (MM/DD/YY) _______/_______/_______ Current Age:  ________ 

Grade (Fall 2008): ______________  School Attending: _________________________________________
												
Received Baptism on: _______/_______/_______ Church Name: __________________________________

Church Full Mailing Address: ______________________________________________________________

Received First Eucharist on: _______/_______/_______ Church Name: _____________________________

Church Full Mailing Address: ______________________________________________________________

Chosen Saint Name: ______________________________________________________________________

Sessions (Please check only one):

____ Session I, Sept 16-Oct 21     ____ Session II, Nov 11-Dec 16     ____ Session III, Jan 6-Feb 10

Sponsor (Must be at least 16 and confirmed.  Parents cannot be sponsor):

Last Name: _________________________ First Name: _____________________ Middle: ___________
							     City/
Address: _____________________________________ State: _______________________ Zip: _________

Age: _______ Phone: _______________ Church Attending: ______________________________________

Church Full Mailing Address: ______________________________________________________________

Please return this form, a copy of the student’s Baptismal Certificate and a check for the $75.00 retreat/supplies fee to:
St. Margaret Mary Youth Ministry
526 N. Park Avenue, Winter Park, FL 32789
FAX:  (407) 647-4492

     *Baptismal Certificates for students who were baptized at SMM or attended 8th grade at SMM School 
      need not be provided.