Home
Pastorate Staff
Interested in
Becoming Catholic?
Online Giving
Frequently Asked Questions
Catholic Ministry Appeal
Sacraments & Devotions
Mass
Confession
Confirmation
Confirmation and First Communication Link Page
Adult Confirmation Registration
Eucharistic Adoration
The Holy Rosary
Chaplet of Divine Mercy
Ministries
Food Ministries
Music Ministry
Faith & Pastorate Life
FORMED
Daughters of Mary
St. Joseph's Helpers
Pastorate Pastoral Council
Photo Albums
St. Mary
School
Holy Cross
School
|||
Anderson-Alexandria Catholic Pastorate
A Pastorate of the Diocese of Lafayette in Indiana
Bulletins
Contact Us
Online Giving
Facebook
X (Twitter)
Search
Search
Home
Pastorate Staff
Interested in
Becoming Catholic?
Online Giving
Frequently Asked Questions
Catholic Ministry Appeal
Sacraments & Devotions
Mass
Confession
Confirmation
Eucharistic Adoration
The Holy Rosary
Chaplet of Divine Mercy
Ministries
Food Ministries
Music Ministry
Faith & Pastorate Life
FORMED
Daughters of Mary
St. Joseph's Helpers
Pastorate Pastoral Council
Photo Albums
St. Mary
School
Holy Cross
School
Adult Confirmation Registration
This form is not accepting responses at this time.
Confirmandi'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.
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Address
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Please List Any Allergies, Health Concerns and Special Learning Needs you have:
Emergency Contact
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Sacraments
Which Sacraments have you Received?
REQUIRED
Baptism
First Reconciliation (Confession)
First Communion
Confirmation
Marriage
Please fill out this field.
Church Registration
I am Registered at:
REQUIRED
St. Ambrose - Anderson
St. Mary - Anderson
St. Mary - Alexandria
Other
None
Please fill out this field.
Questions
Does your family have a family bible?
Yes
No
Do you have your own bible?
Yes
No
Do you have a crucifix at home?
Yes
No
Do you have a home altar?
Yes
No
Is there a designated prayer area in your home?
Yes
No
Consent to Broadcast
Attendance at these events constitutes an agreement with the Catholic parishes and schools of St. Ambrose, St. Mary in Anderson, St. Mary in Alexandria parish and school and Holy Cross school use and distribution, now and in the future, or the attendees’ image or voice in photographs, videotapes, electronic reproductions, or audio-takes of the event. If you have questions or concerns, or wish for your photo to not be used, please contact (765) 644-8467.
Please Check the Box
REQUIRED
I have read and agree to the consent mentioned above and I understand that if I have any questions or have another preference, I will call the phone number provided.
Please fill out this field.
Submit