Adult Confirmation Application | The Chapel of the Cross of Chapel Hill, NC

Please complete this form as completely as possible, with full name. This information included here will be used throughout the confirmation process to complete various forms and certificates. Thanks so much.

Confirmation, Reception or Reaffirmation of Baptismal Vows? *

Confirmation

Reception

Reaffirmation of Baptismal Vows

Not Sure

Name *

First

Middle

Last *

Last

Name to be used by the Bishop

First

Last Name to be Used

Last

Which service would you prefer to attend? Both services will be livestreamed. We will do our best to honor all requests.

9:00 a.m.

11:15 a.m.

No preference

Date of Birth *

Place of Birth *

City

Place of Birth – State *

State / Province / Region

Address *

Street Address

Address Line 2

City *

State / Province / Region *

ZIP / Postal Code *

Home Phone

Mobile Phone

Email *

Baptism Information

Place of Baptism

Church, City, State

Do you know the date of your baptism? *

Yes

No

Date of Baptism

MM

Date of Baptism – Day

DD

Date of Baptism – Year *

YYYY

Time period of your life you were baptized

Infancy, childhood, etc.

Confirmation Information

Have you been confirmed? *

Yes

No

Date of Confirmation *

MM

Date of Confirmation – Day *

DD

Date of Confirmation – Year *

YYYY

Adult Confirmation/Reception Application

Baptism Information

Confirmation Information