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Sacramental Preparation Class Registration

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CONFIDENTIAL

St. Joseph Catholic Church
Otis Orchards, WA
Sacramental Preparation Class Registration
(Reconciliation, Eucharist & Confirmation)
Fee: $55 (Scholarships available)
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- Full Name of Child REQUIRED Please fill out this field. Please enter valid data.
- Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Alternate Phone Number Maximum 20 characters Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Child's Grade REQUIRED Please fill out this field. Please enter valid data.
- Child's Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Child's Baptism Date REQUIRED Please fill out this field. Please enter valid data.
- Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Child's City & State of Birth REQUIRED Please fill out this field. Please enter valid data.
- Please provide a copy of the Baptismal certificate unless baptized at St. Joseph.
- SPONSOR: (Okay to complete this part later)
  
  A Confirmation sponsor must be at least 16 years old, baptized, confirmed, and a practicing Catholic. It is preferred that parents not serve as sponsors. A godparent is the preferred sponsor if available.
  
  Candidate's Sponsor Please enter valid data.
  
  Sponsor's Parish Please enter valid data.
  
  Please provide a copy of the Sponsor's Confirmation certificate unless confirmed at St. Joseph.
- Candidate's Confirmation Name (Patron Saint) REQUIRED Please fill out this field. Please enter valid data.
- Estimated Number Attending Mass (including candidate) REQUIRED Please fill out this field. Please enter an integer (number).
- Suggested donation to cover costs of preparation program: $55
- Office Use Only (Please don't complete this section)
  
  Paid Yes No
  
  Certificates Please enter valid data.
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St. Joseph Catholic Parish

4521 Arden Road, Otis Orchards, WA 99027
Phone: 509-926-7133

Sacramental Preparation Class Registration