St. Jerome Parish

Roman Catholic Church

Email Phone Facebook

Confirmation Online Registration Form

The maximum number of form submissions has been reached. This form is currently not available.
- CONFIRMATION REGISTRATION FORM
- Candidate's Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
- Postal Code REQUIRED Please fill out this field. Please enter valid data.
- Telephone REQUIRED Please fill out this field. Please enter valid data.
- School Attending REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Candidate's Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Candidate's Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Candidate's Baptismal Date REQUIRED Please fill out this field. Please enter a date.
- Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
- City of Church where Baptism took place Please enter valid data.
- Candidate's Father REQUIRED Please fill out this field. Please enter valid data.
- Candidate's Mother (full maiden name) REQUIRED Please fill out this field. Please enter valid data.
- Primary Email for Contact: REQUIRED Please fill out this field. Please enter valid data.
- Are you and your family registered members of St. Jerome Parish? REQUIRED Yes No Please fill out this field.
- If No, to what Parish do you belong? Please enter valid data.
- I AM AWARE OF THE FOLLOWING REQUIRED
  If the candidate has NOT been baptized at St. Jerome Parish, a copy of the candidate's baptismal certificate MUST be provided. If this is not possible, you must contact the parish office.
  Yes Please fill out this field.
- Comments
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.