Name *

First Name

Last Name

Your Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile Phone

(###)

###

####

PLEASE CHECK THE SACRAMENTS YOU HAVE RECEIVED:

Baptism

Eucharist

Reconciliation

Marriage

Address of Church of Baptism

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

MARITAL STATUS

Single

Married*

Cohabitating

Separated

Divorced

*Address of Church of Marriage

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I would like to celebrate the Sacrament of Confirmation and I am able to commit to the Confirmation preparation process.

I agree

Date

MM

DD

YYYY

Copies of baptism and 1st Communion certificates are required. Please send copies separate of this registration form to ourlady@olmc-sandiego.org.

Baptism Certificate

First Communion Certificate