Confirmation

Registration fee of $ 40.00 will help cover the cost of Retreats, supplies, snacks, etc. and is due by August 14, 2020.

Fees can be submitted this fall
https://www.osvonlinegiving.com/482/Home/NewQuickGive

or mailed to
St. Mary's Parish Family
Attn: Sheila Gilbertson
806 E Broadway Ave
Bismarck ND 58501

A copy of your child's baptism certificate is required before Confirmation.

Household Information

Head(s) of household REQUIRED Please fill out this field. Please enter valid data.
Best email REQUIRED Please fill out this field. Please enter valid data.

Number of children being registered REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Birth Date REQUIRED Please fill out this field. Please enter valid data.
- City and State of birth REQUIRED Please fill out this field. Please enter valid data.
- Parish and City in which this child was baptized REQUIRED Please fill out this field. Please enter valid data.
- Are there special needs, allergies, etc that we should know about?
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Birth Date REQUIRED Please fill out this field. Please enter valid data.
- City and State of birth REQUIRED Please fill out this field. Please enter valid data.
- Parish and City in which this child was baptized REQUIRED Please fill out this field. Please enter valid data.
- Are there special needs, allergies, etc that we should know about?
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Birth Date REQUIRED Please fill out this field. Please enter valid data.
- City and State of birth REQUIRED Please fill out this field. Please enter valid data.
- Parish and City in which this child was baptized REQUIRED Please fill out this field. Please enter valid data.
- Are there special needs, allergies, etc that we should know about?
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Birth Date REQUIRED Please fill out this field. Please enter valid data.
- City and State of birth REQUIRED Please fill out this field. Please enter valid data.
- Parish and City in which this child was baptized REQUIRED Please fill out this field. Please enter valid data.
- Are there special needs, allergies, etc that we should know about?

Contact Information

Father's full name REQUIRED Please fill out this field. Please enter valid data.

Address (including zip code) REQUIRED Please fill out this field. Please enter valid data.

Home phone REQUIRED Please fill out this field. Please enter valid data.

Cell phone REQUIRED Please fill out this field. Please enter valid data.

Work phone Please enter valid data.

email REQUIRED Please fill out this field. Please enter valid data.

Mother's full name REQUIRED Please fill out this field. Please enter valid data.

Maiden name REQUIRED Please fill out this field. Please enter valid data.

Address (if different from Father's) Please enter valid data.

Home phone (if different than Father's) Please enter valid data.

Cell phone REQUIRED Please fill out this field. Please enter valid data.

Work phone Please enter valid data.

email REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Information

Emergency contact person's full name REQUIRED Please fill out this field. Please enter valid data.

Relationship to children REQUIRED Please fill out this field. Please enter valid data.

Phone #(s) REQUIRED Please fill out this field. Please enter valid data.

Disclaimer
1. In the event of a medical emergency, I give St. Mary’s staff the right to authorize treatment deemed necessary to save the life or limb by a licensed physician. All attempts will be made to contact the parent or guardian at the phone numbers provided.

2. I hold St. Mary’s Church, its employees and volunteers, free from any liability resulting from accidental injury or death of the above minor(s).

I have read the above disclaimer and agree to its terms. (signature of parent or guardian) REQUIRED Please fill out this field. Please enter valid data.

Parents, guardians and grandparents! How are you willing to share your time with us? Facilitate small group discussion during sessions Cook and serve meals for retreats or other events Help with 9th grade Confirmation reception Drive for various events (registration, license and proof of insurance required) Chaperone various events

Registration fee of $ 40.00 will help cover the cost of curriculum, supplies, snacks, etc. and is due by August 14, 2020.

Fees can be submitted in the fall
https://www.osvonlinegiving.com/482/Home/NewQuickGive or mailed to
St. Mary's Parish
Attn: Sheila Gilbertson
806 E Broadway Ave
Bismarck ND 58501

St. Mary's Parish

Bismarck, North Dakota 58501

Confirmation

2020-2021 8th Grade Confirmation Registration