St. Agnes Catholic Church

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2nd Year Confirmation Registration

Only Payment for 2nd Year Preparation of Sacrament of Confirmation
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Please complete your registration and payment between May 5- and May 28 to guarantee enrollment in the 2nd year. Enrollment is limited.
  
  Complete su registro y pago entre el 5 y el 28 de mayo para garantizar la inscripción en el segundo año. La inscripción es limitada.
  
  2nd Year Candidate Info
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  1st Year Catechist was? REQUIRED Please fill out this field.
  
  Name of You Sponsor / Nombre del Padrino o Madrina
  
  Did you submit a paper copy of the sponsor form? REQUIRED
  La registración se completará hasta que entregue la forma completa de padrino.
  Yes No, No, Registration will be complete until you submit a complete Sponsor form. Please fill out this field.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Family Info
  
  Primary Parent Contact / Guardian
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Registration Payment REQUIRED
  Full Registration is $250. Enter your payment among.
  $ Please fill out this field. Please enter a positive decimal.
  
  Payment includes 2nd year preparaction program and 3-day retreat.
  
  Total:
  
  Submit
  
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2nd Year Confirmation Registration

Please complete your registration and payment between May 5- and May 28 to guarantee enrollment in the 2nd year. Enrollment is limited. Complete su registro y pago entre el 5 y el 28 de mayo para garantizar la inscripción en el segundo año. La inscripción es limitada.

Payment includes 2nd year preparaction program and 3-day retreat.

Please complete your registration and payment between May 5- and May 28 to guarantee enrollment in the 2nd year. Enrollment is limited.

Complete su registro y pago entre el 5 y el 28 de mayo para garantizar la inscripción en el segundo año. La inscripción es limitada.