backparation
Name of Child: ____________________________________a
Address: ____________________________________a
Home Phone #: _____ _________Work Phone #: _____ _________
Date and Place of Child’s
Birth:
Date and Church Where Child
was Baptized:
Father’s Name as it appears
on Baptismal Certificate: ____________________________________a
Mother’s Name (With Maiden
Name) as it appears on the Baptismal Certificate: ____________________________________a
The Sacrament of Confirmation
Confirmation Saint Name: ____________________________________a
Age at Time of Confirmation: ____________________________________a
Name of Confirmation Sponsor: ____________________________________a
Parish and City ofSponsor: ____________________________________a
Proxy’s Name (if any): ____________________________________ation
The sacrament of confirmation sponsor certificate must be signed by a priest or deacon.
1. A confirmed and practicing believer in Christ in good standing with the Church.
2. NOT the child’s parents (by birth, adoption, or marriage).
3. 16 years of age or older.
4. If possible, the child’s Baptismal godparents.
5. One person.
Confirmation Candidate’s
Name:_______________________________________________
Sponsor's Name:_______________________________________________
Parish and City of Sponsor_____________________________________________
Proxy’s Name (if any):_______________________________________________
Statement of the Sponsor
I recognize that in accepting the role of sacramental sponsorship I become responsible to be a model and
example to my confirmed as a committed and active Christian and to be a support to his/her life-long
spiritual growth. I hereby assure that I am not the father or mother of the candidate by birth or adoption,
that I am committed to my Catholic faith, that I myself have received all three sacraments of initiation
(Baptism, Holy Communion, and Confirmationt living in a situation which keeps me from properly receiving
the sacraments, and that I try to lead a life in harmony with the faith and role to be undertaken, by witness
to the values of the Gospel of Jesus Christ,
and by seeking to be of service to
others for love of Him.
Sponsor's Signature:_______________________________________________
Date:____________________
The above member of my church,_______________________________________________ is qualified to serve in the role of Confirmation.
Signature of Priest/Deacon:_________________________________________ _
Date:________________