St. Stephen Catholic Church

Confirmation Sacristy Record STUDENT INFORMATION Full Legal Name: ______________________________________________________

Age: _____________

Nombre y apellido de niño/niña

Address: ________________________________________________________________________________ Domicilio

City/State/ZIP: ___________________________________________________________________________ Ciudad/Eastado/Zona postal

Student Cell Phone: _____________________

Student Email Address:___________________________

Telefono celular

Date of Birth: __________________________ Fecha de nacimiento

City/State: _____________________________________ Ciudad/Eastado

School: ________________________________________________________ Escuela

Grade: ________________ Grado

Parish/Church Attending: __________________________________________________________________

PARENT INFORMATION Father’s Full Name: ________________________________________ Cell Phone: ___________________ Nombre complete del Padre

Telefono celular

Mother’s Full Maiden Name:_________________________________ Nombre de soltera de la madre [primer nombre y apellido soltera]

Cell Phone: ___________________ Telefono cellular

Email Address: ___________________________________________________________________________

SACRAMENT INFORMATION:

INCLUDE COPY OF BAPTISM CERTIFICATE

Date of Baptism: ____________________________ Fecha de Bautismo

Church: _________________________________ Iglesia

Address of Church: ________________________________________________________________________ Domicilio de iglesia

City: __________________________________ Ciudad

State: _________________ Zip: ___________________ Eastado

Zona postal

FOR OFFICE USE ONLY Sponsor Covenant Form on File: Copy of Baptism Certificate:

Yes Yes

No No

Rite of Enrollment on File: Registration Fee Paid:

Yes Yes

No No

Sponsor’s Name: ____________________________________________________________________________________________ Confirmation Name: _________________________________________________________________________________________ Confirmation Date: _______________

Church: _______________________________________________________________

Date Notification Sent to Parish of Baptism: ________________

Date Entered into Sacramental Records: ______________