St. Jane Frances de Chantal
Catholic Church
(Pastorate parish with OLC)

8499 Virginia Ave.
Riviera Beach, Maryland 21122

www.stjane.org

www.stjane.org

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Confirmation Registration

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Youth of our pastorate who are seeking the sacrament of Confirmation should register. Students who take part in preparation for this sacrament should be entering 6th grade or above.
The maximum number of form submissions has been reached. This form is currently not available.
- Child's Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
- Grade in September REQUIRED Please fill out this field. Please enter valid data.
- School Attending: REQUIRED Please fill out this field. Please enter valid data.
- Place of Baptism: REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism: Please enter valid data.
- Place of 1st Communion: REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism: Please enter valid data.
- Parent's Information
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Name Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- Cell Number REQUIRED Please fill out this field. Please enter valid data.
- Child's Medical or School Concerns:
- Are there custodial issues we need to be aware of?
- Sacrament Preparation Fee50.0
Total:

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Proceed to Payment