Apple Valley Catholic Community
St. Elizabeth of Hungary & St. Isidore Parishes

Serving - Acton, Boxborough, Stow MA

"You Matter to God, You Matter to Us!"

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Confirmation Certificate Request Form

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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Name of person who received the sacrament REQUIRED Please fill out this field. Please enter valid data.
  
  What is your relationship to this person? REQUIRED Please fill out this field. Please enter valid data.
  
  St. Elizabeth or St. Isidore REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Name Please enter valid data.
  
  Mother's Name Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Date or Approximate Date of Confirmation (Generally 10th grade) REQUIRED Please fill out this field. Please enter valid data.
  
  Address where certificate should be sent REQUIRED Please fill out this field.
  
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