Confirmation Preparation Class Intake Sheet
Participant Information
Full Name
Date of Birth
Home Address
Phone Number
Email Address
Parent / Guardian Information
Parent/Guardian Name 1
Phone
Parent/Guardian Name 2
Phone
Parent/Guardian Email
Sacramental Information
Baptized?
Yes
No
Baptism Date
Baptism Church Name & Location
Received First Communion?
Yes
No
First Communion Date
First Communion Church Name & Location
Additional Information
School Currently Attending
Current Grade
Any Special Needs or Allergies
Emergency Contact Name & Phone
Other Information or Remarks