Immaculate Heart of Mary Confirmation Preparation Registration Form - Immaculate Heart of Mary

Immaculate Heart of Mary Confirmation Application

Immaculate Heart of Mary Confirmation Application 2026-2027
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Immaculate Heart of Mary Confirmation Application 2026-2027

Personal Information of the Confirmation Candidate

First Name:*

Middle Name:

Last Name:*

Address:*

City:*

State:*

Zip:*

Date of Birth:*

Candidate's cell phone:*

Having the candidates email is important, as email will be our primary form of communication and directly communicating with the candidates simplifies the process for all parties. All communications will be sent to candidates, as well as to their parents and sponsors.

Candidate's Email:*

Best way to get in touch:

Text

Call

Which school does candidate attend?*

Candidate's Grade Level:

Parent Information

The parent information is needed for Sacramental records.

Mother's Full Name:*

Mother's Maiden Name:*

Father's Full Name:*

Additional Parent/Guardian Full Name:

Parent 1 Phone:*

Parent 2 Phone:*

Primary Email Address:*

Secondary Email Address:*

Best way to contact parents:

Call

If there is a parent that is the primary contact, indicate here:

Baptismal Record

If your candidate was not baptized at IHM, you MUST submit a certificate of Baptism by October 9, 2026.

Was the candidate baptized at IHM?

Yes