Adult Confirmation Registration

Put N/A in any box that cannot be completed but is required for submission.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Other Phone Number Please enter a phone number.

Are you a registered parishioner? REQUIRED Please fill out this field.

Preferred Email for Correspondence REQUIRED Please fill out this field. Please enter an email address.

Emergency Contact During Class Time

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 Please fill out this field. Please enter a phone number.

Religious History

Date or your approximate age you were baptized: REQUIRED Please fill out this field. Please enter valid data.

Baptismal name (if different from current name): Please enter valid data.

Place of Baptism (name of church): REQUIRED Please fill out this field. Please enter valid data.

Address, if known: REQUIRED Please fill out this field. Please enter valid data.

Have you receive First Communion REQUIRED Yes No Please fill out this field.

Current Marital Status

Are you married? REQUIRED Yes No Please fill out this field.

Are you married in the Catholic Church? Often people refer to this as having their marriage "blessed" REQUIRED Please fill out this field.

If engaged to be married:

Your Fiance's Name: Please enter valid data.

Your Fiance's currennt relgious affliation (if any): Please enter valid data.

For you: This is my first marriage. I have been married before.

For your fiance: This is his/her first marriage. My fiance has been married before.

If you are already married:

Your spouse's name Please enter valid data.

Your spouse's current religious affiliation (if any): Please enter valid data.

For you: This is my first marriage. I have been married before.

For your spouse: This is his/her first marriage. My spouse has been married before.

Date of Marriage: Please enter valid data.

Place of Marriage (address)

Officiating Authority of Marriage (civil government, non-Christian minister, Christian minister, Catholic cleric) REQUIRED Please fill out this field. Please enter valid data.

Married but separated? REQUIRED Yes No Please fill out this field.

Divorced and not remarried REQUIRED Yes No Please fill out this field.

Widow/Widower and not remarried Yes No

General Questions

What has lead you to want to know more about the Catholic Faith? REQUIRED Please fill out this field.

Please describe the religious education you have received, as a child and as an adult. REQUIRED Please fill out this field.

What contact have you had with the Catholic Church to date? REQUIRED Please fill out this field.

What are some questions or concerns you have about the Catholic Church? REQUIRED Please fill out this field.

Which of the following statement best describe your present feelings and thoughts about the possibility of joining the Catholic Church? REQUIRED I need much more information about the Catholic Church before I would consider joining. I am considering joining, but I am still unsure about it. I am fairly sure that I want to join, but i still need some time to study and pray about it. I am fairly sure that I want to join the Catholic Church. Please fill out this field.

Medical Consent

In the event of an emergency, I hereby give permission to the staff of St. Thomas More Catholic Church to seek emergency medical transport and/or treatment for my child(ren) named above. I will be responsible for all costs incurred. I wish to be advised before further care is given by the hospital or dorctor.

I Agree Please select this field.

Video/Photography Consent

As parent/guardian, I understand that promotional pictures and videos ( individual and group) may be taken during the classes and activities. I give permission for my child(ren)'s pictures (named above) to be used for church promotional materials such as newsletters, web pages, calendars, Power Point presentations, or videos to promote or highlight activities of the children in their Faith Formation classes.

I Agree Please select this field.

Consent and Liability Waver

In the event of any accident or injury, I agree on behalf of myself, my child(ren)'s other parent if known or living, the child(ren) named above or our heirs, successors, and assigns, to hold harmless and defend the Archdiocese of Galveston-Houston, its pastor or any representative of Faith Formation, unless the parties involved were careless and negligent. Effective for all Faith Formation activities at St. Thomas More.

I Agree Please select this field.

Accommodations, Support, Health, or Allergy Concerns? REQUIRED Please fill out this field.

Flocknote

I grant permission for my information to be submitted to Flocknote so that the fiath formation department can communicate with me. I recognize that this is the primary mode through which information regarding faith formation will be transmited.

I Agree Please select this field.