Reg. Adult Confirmation Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastMaiden NameAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCell Phone *Email *Date of Birth *Gender *Marital Status *SingleMarriedMarriedCivilChurchAre you a Parishioner at OLPH? *YesNoIf you answered no, what Parish do you attend?BaptismBaptismal Certificate *Please upload Baptismal certificateDate of BaptismChurch of Baptism *Church of Baptism AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFirst CommunionFirst Communion Certificate *Please upload First Communion CertificateDate of 1st CommunionChurch of 1st CommunionCity of 1st CommunionPARENT INFORMATIONFather name *(first and last) per baptismal certificateMother Name *(first, maiden and last name) per baptismal certificateDonationAdult Confirmation Registration *Price: $ 120.00Total$ 0.00Submit