Confirmation Registration

Name:

First Middle Last

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone #

Updates will be sent through Flocknote

Birth Date:

Baptismal Date:

Name and city of church you were baptized in:

Church City

If you were baptized outside of Cooke County you must provide a copy of your Baptismal Certificate

Father’s Full Name:

First Middle Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone

Home Phone

Monther's Full Name:

First Middle Last

Mother's Maiden Name

Address (if different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone

Home Phone

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