Fields marked with an * are required 7th Grade / 8th Grade Confirmation PreparationConfirmation Candidate’s Information Full Baptismal Name * Date of Birth * Grade for Current/Upcoming School Year * Current School * Date of Baptism * Name of Church Where Baptized * City and State of Church of Baptism * If candidate was not baptized at either St. Frances of Rome or St. Leonard, we will need verification of child’s baptism. Please send a scanned copy or photo of their baptism certificate to sbidwell@sfrlou.org. If the certificate is unavailable, please contact the church of your child’s Baptism and ask them to mail a copy to Sharon Bidwell at either parish office. Church Where Candidate Received First Reconciliation * City and State of Church * Church Where Candidate Received First Eucharist * City and State of Church * Divider Family InformationParent/Guardian (primary contact): Primary Email (to receive regular updates) * First Name * Last Name * Maiden name (if applicable) Relationship to Child * Phone Number * Parent/Guardian: First Name * Last Name * Maiden name (if applicable) Relationship to Child * Phone Number * Email * Family Mailing Address: Address * City * US States * - Select State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Zip * At which parish is your family currently registered? * Saint Leonard Saint Frances of Rome Neither, but we want to join! Neither, but there are special circumstances (please explain and include the name of the parish where you are currently registered) If special circumstance: Divider Health And Safety Information Please describe any allergies or medical conditions that we should be aware of for your child: * Photo Release: May we have permission to photograph your child for parish news and promotions? * Yes No Custodial Authorization: Is there anyone else you want to designate to be able to take your child home? * Yes No If yes with custodial authorization, then who? During the 2022 – 2023 school year, if any confirmation activities take place via video chat platforms such as Zoom, all session facilitators will be trained in compliance with Archdiocesan Safe Environment policies. During these sessions, a parent or guardian must be present in the room with their child and visible on the screen throughout the session. Sign and date below to indicate that you understand and will comply with this requirement. If you do not wish your child to participate in sessions digitally, please contact Sharon Bidwell to arrange alternative opportunities for these formation sessions. E-Signature * Date * Divider Program and Retreat Fees The confirmation program fee is $25 per family; if this poses a hardship for your family, please contact Sharon Bidwell at the parish office. Please pay the program by cash or check made out to either “Saint Leonard Parish” or “Saint Frances of Rome Parish,” and return this form and attached payment to your parish office. There will be retreat opportunities offered to both 7th and 8th grade students this year. The cost of retreats will be communicated when retreat sign ups open. Again, if these costs pose a hardship for your family, please contact Sharon Bidwell. If you are a human seeing this field, please leave it empty.