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Confirmation Form 2024

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sscm100
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33 views

Confirmation Form 2024

Uploaded by

sscm100
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SS.

CYRIL & METHODIUS CHURCH


218 ACKERMAN AVENUE CLIFTON, NJ 07011
(973) 546-4390/ FAX: (973) 546-1252
CONFIRMATION REGISTRATION

STUDENT’S NAME: _____________________________________________AGE:


_____________ (NOMBRE DE ESTUDIANTE) (EDAD)

DATE OF BIRTH:______________ CITY OF BIRTH:


____________________________________ (FECHA DE NACIMIENTO) (CUIDAD DE
NACIMIENTO)

ADDRESS: _____________________________________________________________________
(DIRECCIÓN)

SCHOOL ATTENDING: _____________________________________________ GRADE:


________ (ESCUELA) (GRADO
ESCOLAR)

FATHER’S NAME: _______________________________________________________________


(NOMBRE DEL PADRE)

MOTHER’S MAIDEN NAME: _______________________________________________________


(NOMBRE DE LA MADRE / APELLIDO DE SOLTERA)

MARITUL STATUS (CIRCLE ONE): SINGLE / MARRIED / DIVORCED /


WIDOWED (ESTADO CIVIL) SOLTERO(A) CASADO(A)
DIVORCIADO(A) VIUDO(A)

*TO BE ANSWERED IF PARENTS ARE SEPARATED OR DIVORCED: (RESPONDER SI LOS PADRES ESTÁN DIVORCIADOS O
SEPARADOS)

STUDENT IS LIVING WITH (CIRCLE ONE): / FATHER


MOTHER / OTHER:
TELEPHONE #: (HOME) __________________________ (WORK)
________________________ (NÚMERO DE TELÉFONO)
BAPTISM INFORMATION (INFORMACIÓN DEL BAUTIZO)

CHURCH NAME: ________________________________________________________________


(NOMBRE DE LA IGLESIA)
CHURCH ADDRESS:
______________________________________________________________ (DIRECCIÓN)

*PLEASE CHECK BOX IF COPY OF BAPTISM CERTIFICATE WAS SUBMITTED WITH FORM

FIRST COMMUNION INFORMATION (INFORMACIÓN DE LA PRIMERA COMUNIÓN)

CHURCH NAME: ________________________________________________________________


(NOMBRE DE LA IGLESIA)
CHURCH ADDRESS:
______________________________________________________________ (DIRECCIÓN)

*PLEASE CHECK BOX IF COPY OF FIRST COMMUNION CERTIFICATE WAS SUBMITTED WITH FORM

REGISTRATION FEE: $60.00 *PLEASE CHECK BOX IF PAID BY CASH CHECK

#_________________ (PLEASE MAKE ALL CHECKS PAYABLE TO: SS. CYRIL & METHODIUS CHURCH)

PAYMENT DATE: _______________________ RECEIVED BY:


____________________________
CLASSES IN SPANISH OR ENGLISH (CIRCLE ONE)
SS. CYRIL & METHODIUS CHURCH
218 ACKERMAN AVENUE CLIFTON, NJ 07011
(973) 546-4390/ FAX: (973) 546-1252
CONFIRMATION REGISTRATION
THE PARENT & STUDENT SIGNATURES BELOW EXPRESS THE INTENTION OF BOTH TO BE FULLY COMMITTED
TO ALL ASPECTS OF CATHOLIC FORMATION OFFERED THROUGH THIS PROGRAM.

PARENT/GUARDIAN: _______________________________ DATE: ________________________


STUDENT: _______________________________________ DATE: ________________________

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