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SJN Confirmation Online Payment

This form is for online payment only. You must register for the sacrament of confirmation. Contact the religious education office for more information.
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- Parent/Guardian 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.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Candidate 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.
- Picture Release REQUIRED St. John Neumann Parish may post my child's picture on associated web sites and/or social media Please do not post my child's picture online Please fill out this field.
- Type name (as your signature) REQUIRED Please fill out this field. Please enter valid data.
- Registration Fee$60.0
- Online Processing Fee$2.0
Total: $

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