Child’s Firstname *

Child’s Surname *

Child’s Date of Birth *

Child’s Address *

Address Line 2

County / Postcode *

Eircode

Country *

Is this child Baptised?

Yes Catholic
Other Christian Denomination
Child NOT Baptised

Church of Baptism

PLEASE NOTE: If your child was baptised in St Brigid's Killester you do not need to provide a baptismal cert, simply indicate the date of baptism below. If your child was not baptised in St Brigid's Killester please consent to your child's school providing Killester Parish with these details - See below at bottom of this form

If Church of Baptism is OTHER enter Church Name Here

OTHER Church Address

OTHER Church Address 2

Date of Baptism

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School

Teacher’s Name

Mother’s / Guardian’s Firstname *

Mother’s / Guardian’s Surname *

Mother’s / Guardian’s Maiden Name *

Father’s / Guardian’s Firstname

Father’s / Guardian’s Surname

Primary Contact Mobile Phone Number *

IMPORTANT - this number will be used for all text message communications, it is your responsibility to ensure it is correct. If you change your number you should contact us via email to update your details.

Primary Contact Email *

IMPORTANT - this email address will be used for any email communications, it is your responsibility to ensure it is correct. If you change it you should contact us via email to update your details.

I consent / Agree to the Terms and Conditions below *

That it is my/our wish that my/our child be prepared for the reception of the Sacrament of Confirmation. To co-operate in the preparation events leading up to the celebration of this sacrament. That the information contained in this form will be used to register my/our child for the sacrament of Confirmation in St. Brigid's Killester. That the parish may contact me by phone, text, email or in writing regarding events surrounding the programme. That the parish may exchange this information with my/our child's school.

I consent / Agree to my childs School sharing baptismal details *

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