Welcome to the 7th Grade Confirmation Registration.FAMILY NAME(Required) Family Email(Required) Family Home Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you registered at Saint Agnes? Yes No If yes, what is your parish number? If not, what is the name of the parish where you are registered? Download the Pastor Permission Letter.Is your child currently a student at St. Agnes School? Yes No Father's Name(Required) Mr.Dr.Prof.Rev. Prefix First Last Suffix Head of Household? Yes No Cell Phone(Required)Email Address(Required) Is your home address the same as the family address? Yes No Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ReligionCatholicChristianOtherMarital Status(Required)Catholic Church MarriageMarried (Civilly)SingleSeparatedDivorcedWidowedMother's Name(Required) Mrs.Ms.Dr.Prof.Rev. Prefix First Last Head of Household? Yes No Cell Phone(Required)Email Address(Required) Is your home address the same as the family address? Yes No Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ReligionCatholicChristianOtherMarital Status(Required)Catholic Church MarriageMarried (Civilly)SingleSeparatedDivorcedWidowedChild(ren) reside with…Father and MotherFatherMotherSole CustodyJoint CustodyGuardianOtherGuardian's Name(Required) Mr.Mrs.Ms.MissDr.Prof.Rev. Prefix First Last Suffix Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone(Required)Email Address(Required) If needed, please download the Parental Consent for Custody or Other Issues, Complete the Form and then upload it back. Download the Parental Consent Form.Upload completed and signed Parental Consent FormMax. file size: 50 MB.Emergency ContactPlease designate an emergency contact who is not a parent/legal guardian who has medical-consent and dismissal-release authority in the event of a medical emergency or unscheduled dismissal. The emergency contact will be called only in the event that the parent or legal guardians cannot be reached.Emergency Contact's Name Mr.Mrs.Ms.MissDr.Prof.Rev. Prefix First Last Suffix Emergency Contact Relationship to Student(s)GrandfatherGrandmotherUncleAuntFamily FriendOtherSpecify Relationship to Student Cell Phone(Required)Email Address(Required) Student InformationName(Required) First Middle Last Gender(Required)MaleFemaleParental Consent to provide child's email address(Required)I agree to provide my child’s email address for communication of Confirmation requirements only. I understand that I will be copied in all communication. I agree to to the aboveStudent Email Address Birth Date(Required) Month Day Year Upload copy of Birth CertificateMax. file size: 50 MB.What Sacraments has the student received? Baptism First Penance First Holy Communion Confirmation Upload copy of Baptismal CertificateMax. file size: 50 MB.Academic School 2023-2024(Required) What was the last Religious Education grade completed?(Required) Where? (Parish Name and Address)(Required)Are there any health, behavioral, learning, and special testing accommodations that we should be aware of?(Required)DO YOU HAVE ANOTHER STUDENT TO REGISTER? IF YES, MAKE SURE TO CLICK Yes so that form fields for needed information for Child 2 appears Yes No Student 2 InformationName(Required) First Middle Last Gender(Required)MaleFemaleParental Consent to provide child's email address(Required)I agree to provide my child’s email address for communication of Confirmation requirements only. I understand that I will be copied in all communication. I agree to to the aboveStudent Email Address Birth Date(Required) Month Day Year Upload copy of Birth CertificateMax. file size: 50 MB.What Sacraments has the student received? Baptism First Penance First Holy Communion Confirmation Upload copy of Baptismal CertificateMax. file size: 50 MB.Academic School 2023-2024(Required) What was the last Religious Education grade completed?(Required) Where? (Parish Name and Address)(Required)Are there any health, behavioral, learning, and special testing accommodations that we should be aware of?(Required)Please read carefully the statements below.7th Grade Confirmation Handbook Download the 7th Grade Confirmation Handbook.CONFIRMATION HANDBOOK ACKNOWLEDGEMENT FORMAfter reading the Confirmation Handbook, we understand our responsibilities and will comply with all that is stated in the handbook. I have read and understand the above.CONFIRMATION REQUIREMENTS FORMS Download the 7th Grade Confirmation Key Dates. Download the Parent Preparation Agreement. Download the Student Preparation Agreement. Download the Instructions for the Letter of Intent. Download the Confirmation Service Proposal.Signature Δ