Parish of the Immaculate Conception

Preparation for the Sacraments

SACRAMENT OF CONFIRMATION

Please complete this form and bring it, along with the necessary payment, to the parents’ meeting in the Church on Monday 8th September 2008. It will not be possible to accept applications after this date. Please do not hand it in at St Mary’s School.

 

Name of Child

 

 

Date of Birth

 

 

Date of baptism

Was your child baptised in this parish?

 

Yes / No

If not, please give details, including full postal address:

 

 

 

 

Home Address

 

 

 

Postcode:

Telephone Number

Home:

Mobile:

Name of parents or guardians

 

Religion of parents or guardians

 

Mother

Father

Contact name and number for emergency use.

 

Name:

Number:

Does your child have any medical condition or allergies of which we should be aware?

YES * (please give details) *delete as required

NO*

Do you give permission for your child to receive first aid if required?

YES* *delete as required

NO*

Do you attend Mass in this parish?

Yes / No * (delete as required)

If yes, how often? *

Weekly fortnightly monthly occasionally special occasions only

If no, in which parish do you worship, and how often?

 

 

 

To be completed by the child

Why do you wish to be prepared for the sacrament of Confirmation?

 

 

 

 

 

 

To be completed by parents:

Do you support your child in his / her wish?

 

 

 

YES / NO

 

Please read the following and then sign and date as shown.

 

Signed _____________________________(parent/guardian)

Date ________________________