Confirmation Registration

Father's Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.

Mother's Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name Please enter valid data.

Contact Phone # REQUIRED Please fill out this field. Please enter valid data.

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

Contact Email Address: REQUIRED Please fill out this field. Please enter valid data.

Please complete the information below for each child in grades 1-12

Child's Name: REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade in School REQUIRED Please fill out this field. Please enter valid data.
Special Needs? Allergies? Please enter valid data.
Date of Baptism: Please enter valid data.
Place of Baptism: REQUIRED Please fill out this field. Please enter valid data.
Please check all the Sacraments the child HAS received First Penance First Communion Confirmation

# of Additional Children you need to register: REQUIRED Please fill out this field.
Additional Child 1
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Date of Baptism Please enter valid data.
- Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Please check all the Sacraments the child HAS received First Penance First Communion Confirmation
- Any Questions?
Additional Child 2
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Date of Baptism Please enter valid data.
- Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Please check all the Sacraments the child HAS received First Penance First Communion Confirmation
- Any Questions?
Additional Child 3
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Date of Baptism Please enter valid data.
- Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Please check all the Sacraments the child HAS received First Penance First Communion Confirmation
- Any Questions?
Additional Child 4
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Date of Baptism Please enter valid data.
- Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Please check all the Sacraments the child HAS received First Penance First Communion Confirmation
- Any Questions?
Additional Child 5
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Date of Baptism Please enter valid data.
- Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Please check all the Sacraments the child HAS received First Penance First Communion Confirmation
- Any Questions?
Additional Child 6
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Date of Baptism Please enter valid data.
- Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Please check all the Sacraments the child HAS received First Penance First Communion Confirmation
- Any Questions?

You may also call the office at (781) 598-4907 or contact Chris Carmody at [email protected] or Michele Morin at [email protected] for any additional questions.

Saint Mary of the Sacred
Heart Parish

Lynn, MA

Confirmation Registration

Confirmation Registration