CONFIRMATION REGISTRATION

Full Name of Confirmation Candidate *
Chosen Confirmation Name (May be changed later, but family must notify the office prior to Confirmation)
Present address *
City *
State *
Zip *
Telephone Number *(Home)
Email *
Father’s name: First
Last
Mother’s MAIDEN name: First
Last
Sponsor’s Name (Sponsors must be Catholic & cannot be parents of Confirmation candidate)
Where does your child receive Religious Ed?
(2 years of rel. ed. are required for Confirmation)Saint Bernadette’s CCDSt. Bernadette’s ElementaryHomeschoolOther
Please list the grades for which your child has received religious education:
Date of Birth *
City *
State *
Date of Baptism
Parish of Baptism
City
State
Zip
Those not baptized at St. Bernadette must include a copy of their Baptismal Certificate.
You may get a copy of this by calling or writing the church of Baptism for it.

Sacramental Preparation Fee: Preparation for Confirmation is an additional cost to the parish. A preparation fee of $70 is due by
Dec. 1 or $85 after Dec. 1

RETURN CONFIRMATION & SPONSOR FORMS and ADMINISTRATIVE FEE by
DECEMBER 1, 2012to:

Richard Budd, Director of Religious Education
70 University Boulevard, East
Silver Spring, MD 20901

Questions/Concerns?: 301-593-5104 / rbudd @stbernadetteschurch .org

Contact Information