Confirmation Year 2 Registration Form (2018)

2018-2019 School Year


For 10th Grade Students

Thank you for your interest in St. Gerard's Confirmation program. 
Please complete the form below for 10th grade students.

For tuition information:
Please click here
Questions?
 Email confirmation@saintgerard.org
Student Information
Student Name
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Student DOB //
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Student Height For example: 6' 5"
School as of September of current year
Student Home Address
Grade
Home Tel. # --
Student Cell # --
Parent Cell # --
Student Email
Parent's Email
Father's First and Last Name Please be sure to enter first name AND last name
Mother's First Name and Maiden Name Please be sure to enter first name AND maiden name
Student Baptism & First Communion
Baptized at St. Gerard's?
Place of Baptism
Date of Baptism  
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First Communion at St. Gerard's?
If student was not baptized or received First Communion at St. Gerard's, please supply a copy of student's Baptismal Certificate.
Calculate Registration Fees
Student Tuition/Registration Fee For deferred payment, please complete this section as well as the next section.  
Selection Extended

Yes, I have and maintain an offertory membership | $50.00

No, I do not have an offertory membership | $150.00

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Checkout
We accept VISA, MC, Discover, AmEx, and ACH/e-check

Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

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