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2023 Santa Rosa Confirmation Registration Form

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18 views1 page

2023 Santa Rosa Confirmation Registration Form

Uploaded by

jzaraadamswork
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SANTA ROSA

CONFIRMATION REGISTRATION FORM 2023


INSTRUCTIONS:
✓ CANDIDATE MUST BE BORN BETWEEN 2007 AND 2009
✓ Registration Fee of $200.00 required.
✓ Registration Forms can be accessed on the Santa Rosa/Malabar Cluster website, filled out online and
submit to [email protected] .
✓ Registration fees can be deposited in Republic Bank Arima, Santa Rosa Parish, A/C #460803521901.
✓ On the receipt state candidate’s name, copy and submit with completed form on designated day.
✓ Registration fees can also be paid when submitting completed form on designated day.
✓ THE REGISTRATION PROCESS WILL BE COMPLETED FACE TO FACE WITH PARENT AND CANDIDATE
PRESENT. Bring 1 copy each of Candidates Birth, Baptism, First Communion Certificates and a
passport size photo.
✓ Registration Completion Days:
Sat. 22 July, 2023 - 9:00am - 12:00noon Sat. 29 July, 2023 - 9:00am – 12:00noon.
✓ Venues for the above will be announced in due course. (Candidates will select their jersey SIZE on
these days.)
✓ REGISTRATION CLOSES ON SATURDAY 29TH JULY, 2023.
NOTE: Registration fees paid prior to Saturday 29th July (through Bank Deposit) without completing
the Registration Process on the designated dates will be REFUNDED.
Candidate’s Details:
J'zara Tamika
First & Middle Names (only): _______________________________________________
Last Name:___________________________________________
Adams
Date of Birth: Year_______
2007 Month________
February Day________
11th X
Male☐ Female☐
#9a El Carmen Street Arima
Home Address: _____________________________________________________________________
Phone Contact: Home___________________
236-4963 Mobile____________________
797-7080
[email protected]
Email Address: _______________________________________________
2007 Month________
Date of Baptism: Year_______ August Day________
05th Santa Rosa
Parish_____________________
Date of First Communion: Year_______ Nov
2015 Month________ 22nd
Day________ St Joseph RC
Parish__________________
Medical Concerns:
Allergies: Yes☐ X
No☐ Asthma: Yes☐ X
No☐
Other:___________________________________________________________________

Where do you normally attend Mass:


Santa Rosa☐
X Malabar☐ Holy Cross☐ Pinto Rd.☐ Tumpuna Rd.☐ Valencia☐
Santa Rosa Heights☐ Aripo☐

As part of their Faith Formation, candidates are asked to participate in one of the following Liturgical
groups/Ministries in the cluster. Please tick to indicate which you are currently involved in or will become part
of.
Mass Usher☐ Altar Server☐ Lector☐ Mass Host☐ Church Choir☐ Soup Kitchen☐
St. Vincent De Paul☐ Refugees & Migrants☐ Meals on Wheels☐ Audio/Video Communication☐
Are you a member of:
Precious Blood Community Yes☐ No☐
X
People of Praise Community Yes☐ No☐
X

Name of Parent/Guardian: ____________________________________________________


Nelicia Adams
797-7080
Phone Contact: _____________________ [email protected]
Email Address: ______________________________

I certify that all the information given above is true and correct.

29th July 2023


DATE _______________

X
(S i g n a t u r e o f P a r e n t / G u a r d i a n )

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