ARCHDIOCESE OF PORTLAND IN OREGON Adult Confirmation Data Sheet

Please print legibly or type Registering Parish: ___________________________________________City _________________________________ Contact Person: ___________________________________________________________________________________ Email Address: ________________________________________________@_____________________._____________ Phone: ( _________) ___________________________ - _____________________________________

Confirmation Ceremony: Choose One  St. Joseph Church, Salem (May 15, 2019)  St. Mary’s Cathedral, Portland (May 22, 2019) Please enter the information on your confirmandi on the following pages. This is a fillable pdf file. You may fill out the form, save it, and email the saved form to [email protected]. or you may print out the form and fax it to Anne Marie Van Dyke at 503-234-2545, or mail it to Office of Divine Worship, Archdiocese of Portland, 2838 East Burnside Street, Portland, Oregon, 97214.

ARCHDIOCESE OF PORTLAND IN OREGON ADULT CONFIRMATION DATA SHEET For Confirmation ceremony in:Salem (May 15, 2019) or Portland (May 22, 2019) PLEASE PRINT THE FOLLOWING INFORMATION: Name of candidate (last)

(first)

Date of Baptism

/

(middle)

/ (month/day/year)

Church of Baptism (name)

(

City/State or Country) A current Baptismal certificate must be submitted to your Parish office. Confirmation Name Given name may be used or you may choose the name of a saint (do not use nicknames). Name for Confirmation certificate: (First Name)

(Confirmation Name)

(Last Name)

Enter FULL NAME exactly as you would like it to appear on the Confirmation certificate. Sponsor Name (First) (Last) Two sponsors at most. If two, then one male and one female.

Please return before May 6, 2019 for Salem Confirmation and return before May, 13, 2019 for Portland Adult Confirmation. Please fill one form out for each adult confirmandi and return to Office of Divine Worship, Attn: Anne Marie Van Dyke by email [email protected] or Fax: 503-234-2545 or regular mail to: 2838 East Burnside Street, Portland, OR 97214.

ARQUIDIOCESIS DE PORTLAND, OREGON HOJA DE DATOS DE CONFIRMACION PARA ADULTOS Para la ceremonia de Confirmación en: Salem (15 de Mayo)

Portland (22 de Mayo)

POR FAVOR, CON LETRA DE MOLDE, COMPLETE LA SIGUIENTE INFORMACION:

Apellido de candidado

Nombre Completo

Fecha de Bautismo

/

/

(Mes/día/año) Iglesia de Bautismo (Nombre) (Ciudad/estado/o país) Debe de entregar un certificado Bautismal actual, a la Oficina de la Parroquia. Nombre de Confirmación

(Usted puede usar el nombre de bautismo o puede escoger el nombre de un santo. (No use sobrenombres).

Nombre para el certificado de Confirmación: Apellido

Nombre de Confirmación

Nombre Completo

Por favor pongan el NOMBRE COMPLETO exactamente como debe aparecer en el certificado.

Padrino/Madrina (Apellido) Two at most. If two then one male, one female.

Nombre

Favor de regresar antes del 6 de mayo del 2019 para la confirmación de Salem y regrese antes del 13 de mayo del 2019 para la Confirmación de Adultos de Portland. Por favor rellena una forma de cada adulto confirmado y regresala a: Office of Divine Worship, Attn: Anne Marie Van Dyke Por correo electronico, [email protected] fax 503-234-2545 o correo regular 2838 East Burnside Street, Portland, OR 97214.