2nd Year Confirmation Registration Form for 2021-2022 School Year

Registration Fees (Registración Cuotas)

Registration: $50
Confirmation Retreat (1 day) $60

Total: $110

**MUST BE PAID IN FULL BY FEBRUARY 2022**
**DEBERA SER TODO PAGADO ANTES DE FEBRERO 2022**
6 Month Payment Plan available (Plan de 6 pagos disponible)

Each year is a new registration fee. (Cada año se registran de nuevo.)

Please make payment at Rectory Office:
Monday through Friday 9am to 12pm
(Lunch is 12pm to 1pm)
1pm to 4pm
**Remember to obtain a receipt upon payment**

Teen Name (Nombre del jóven)

Father's Name (Nombre del Padre)

Mother's Maiden Name (Apellido de soltera de la Madres):

Address (Domicilio):

Please complete all information for teen
(Por favor, complete toda la información para el/la jóven)

SACRAMENT INFORMATION (INFORMACIÓN SACRAMENTAL)
Fill in the following information (Llene la siguiente información).