ST ELIZABETH ANN SETON SECOND YEAR STUDENT 

FIRST YEAR CONFIRMATION  REGISTRATION CLASS '08-'09

Please use one form per student
Student Name   First  MiddleLast
Address Street
City  State   Zip
Home Phone
E Mail
School   Grade AgeSex
Health Problems
   
Sacraments Received Baptism Click here if Baptized at this parish    First Penance   First Communion
 

 Confirmation If student was not baptized at this parish a copy of the child's Baptismal certificate is required. Send with registration form.
PSR Grades Attended Pre K-Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th9th 10th 11th 12th

CLASS TIMES: Note time change for Sunday classes.

Class Times Mark One Wednesday 6:30-8:00 PM    Sunday 10:30-12:00 AM    Sunday 4:30-6:00 PM
PLEASE READ *Students attending Sunday class will not be able to attend 11:00 Mass.

Students preparing for Confirmation  classes are required to attend  weekly class with the exception of an excused absence requested by the parent or guardian only.  An excused absence must be approved by the Confirmation Coordinator Sara Carter  887-6472 ext 208.  

FAMILY INFORMATION

Family Last Name
Address
City, State, Zip
Phone
E Mail Address

FATHER'S INFORMATION

Father's Name
Address
Home Phone
Work Phone
Cell Phone
Religion
Marital Status

MOTHER'S INFORMATION

Mother's Name
Address
Home Phone
Work Phone
Cell Phone
Religion
Marital Status

Make check payable to:  SEAS PSR

FEE: $60.00 per student or  two or more $40.00 per student 
Questions Call: Sara Carter  887-6472 Ext. 208

PRINT FORM AND RETURN TO SARA CARTER OR THE PARISH OFFICE, 2200 W. Republic Rd, Springfield, Mo  65807

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