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: ______________