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Confirmation Payment - Payment will be accepted July 1, 2022.

- Payment Information
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Candidate's First and Last Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Parent Email REQUIRED Please fill out this field. Please enter an email address.
  
  2022 Confirmation Registration Fee - (Payments not accepted until July 1st, 2022)135.0
  
  Candidate's 2022 Confirmation Registration Will NOT Be Complete Until PSR Has Received Each Of The Following:
  
  Parish (Church) Registration - MUST REGISTER AT ST. ANSELM IN ORDER TO PARTICIPATE IN CONFIRMATION AT ST. ANSELM.
  
  Candidate Online Registration
  
  Confirmation Payment
  
  Copies Baptism And First Communion Certificates
  
  Confirmation “Saint” Name
  
  Completed Sponsor Form (2 Pg)
  
  I Agree Please select this field.
  
  Submit
  
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