St. Rose of Lima

Registering Your Child for Confirmation in the Catholic Church

Please call the parish office at 427-0230, or request on-line to have your child enrolled in our high school Confirmation program at St. Rose of Lima.

Please fill out the form below.

(Please check all apropriate boxes)

Name of Child:
Parent’s Name:
Parent’s Address:
City:
State: Zip Code:
Parent’s phone number:
Parent’s E-mail :

Are parents of the Child to be baptized registered in the parish?
Yes, parents are registered
No, parents are not registered. (Why register?)