ARCHDIOCESE OF WASHINGTON

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					              ARCHDIOCESE OF WASHINGTON
                    Adult Confirmation Registration Form
                      Sunday, May 27, 2012, 3:00 p.m.
This registration form must be completed by the Pastor, Priest , or Adult Formation/RCIA
                                     Coordinator.

 This registration form is to be emailed to the Office of Worship (liturgy@adw.org) from
                  the Pastor’s email address no later than April 27, 2012.

      Please complete a separate form for each adult Catholic seeking Confirmation.

All information on this form must be completed. Only typed forms will be accepted. The
registration forms are to be filled out by the pastor, priest, or Adult Formation/RCIA
Coordinator. In order to safeguard the accuracy of the submitted information, the forms must be
filled out by you in the presence of the candidate, saved on your computer and then emailed from
the pastor’s archdiocesan email account as an attachment. DO NOT send as a pdf file.

We do not need a copy of the baptismal certificate. If you have seen the baptismal information
and have accepted it, that is all that is necessary.

Within a few weeks after the Confirmation, the Office of Worship will send a notification of
Confirmation to the Church of Baptism. Please ensure that the address is correct.

  Archdiocese of Washington Parish                             Date

  Name of Pastor                                   Pastor’s Email Address


  Candidate’s Last Name (Not a maiden name)       First name

  Confirmation Name (One saint’s name only)

  Name of Confirmation Sponsor (One name only, not a parent)

  Church of Baptism (or reception into full communion)

  Address of Church of Baptism



  City                                    State    Zip          Country

  Date of Baptism/Reception

				
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