Confirmation Reg

St Charles & St Agnes

Confirmation Registration
Welcome to the registration page for Confirmation 2019/20.

We ask those entering High School to join us for a year of prep by attending the youth group (The Gathering) and getting acquainted more with your faith by attending your mandatory retreat as well as joining us for the many fun things we will do all year including ski retreat, Disneyland, and more!

If you are missing a sacrament or both, please contact us and we'll accomodate you.

Information Meeting for teens and parents will be September 22 following the 10am Mass at St Charles in the Parish Hall. (Approx 11:15-12:00).
Candidate Name *

First Name Last Name
Candidate Email *
example@example.com
Candidate Cell Phone # *

Area Code Phone Number
Birth Date *

Month Day Year
Church of Baptism *
Date of Baptism *

Month Day Year

Church Address of Baptism *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Main Parent Contact Name *

First Name Last Name
Main Parent Cell Phone Number *

Area Code Phone Number
Main Parent Contact Email *
example@example.com

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Comment Box

$250.00 for all candidates - goes towards cost of retreat and more

USD Amount - (Do not use a decimal point; $250.00 is entered 250)

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Enter the message as it's shown *
Invoice:
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