THE CHURCH OF THE INTERCESSION
New York City

APPLICATION FORM FOR CONFIRMATION

 

INSTRUCTIONS FOR COMPLETING THIS FORM:

The Application Form for Confirmation is in three sections:

  1. Applicant Information (date of birth, date of baptism, religious affiliation, etc.)
  2. Applicant Contact Information (phone numbers, home address, etc.)
  3. Parents' Information. (PLEASE NOTE: This section is to be completed only for applicants less the age of 21.)

The very last section is to be left blank, and will be completed by the staff at Church of the Intercession.

If you have any questions about this form, please call the church office at (212) 283-6200.

DATE OF APPLICATION *
DATE OF APPLICATION
APPLICANT INFORMATION
FULL NAME OF APPLICANT (Please enter First Name and Middle Name, if any, in the FIRST NAME field) *
FULL NAME OF APPLICANT (Please enter First Name and Middle Name, if any, in the FIRST NAME field)
DATE OF BIRTH OF APPLICANT *
DATE OF BIRTH OF APPLICANT
CONTACT INFORMATION
HOME PHONE NUMBER *
HOME PHONE NUMBER
CELL PHONE NUMBER
CELL PHONE NUMBER
WORK PHONE NUMBER
WORK PHONE NUMBER
HOME ADDRESS *
HOME ADDRESS
PARENT'S INFORMATION (Please fill out this section if the applicant is LESS THAN 21 YEARS OLD)
NAME OF PARENT 1
NAME OF PARENT 1
NAME OF PARENT 2
NAME OF PARENT 2
THIS SECTION TO BE COMPLETED BY CHURCH OF THE INTERCESSION
DATE OF CONFIRMATION
DATE OF CONFIRMATION
TIME OF CONFIRMATION
TIME OF CONFIRMATION
PRESENTED BY:
PRESENTED BY:
CONFIRMING BISHOP
CONFIRMING BISHOP