I, _____________________________________ am a registered member of the Roman Catholic Church Community of ___________________________________________________________________in _________________________________________________________ and have been asked to be a sponsor for ________________________________________ as he/she receives the Sacrament of Confirmation.  In accepting this responsibility, I truthfully state the following:

(please circle)
  
I am at least (16) years of age.
Yes   No   

I have received the Sacraments of Baptism and Confirmation in the Catholic Church.  (Canon 874-3: be a Catholic who has been confirmed and has already received the Sacrament of the Most Holy Eucharist and leads a life in harmony with faith and the role to be undertaken).
Yes   No    

I follow the precepts of the Catholic Church:
Yes   No     

• Participate at Mass on Sundays and Holy Days
• Confess serious sins at least once a year
• Receive Communion during the Easter season
• Fast and abstain on the days appointed
• Help to provide for the needs of the Church

I am married
Yes     No        

If married, I am married according to the rules of the Roman Catholic Church.
Yes   No   
 

(After questions are answered, please complete the following)

________________________                           ____________________________

Signature of Sponsor                        Signature of Pastor/Administrator

________________________                           ____________________________

Date                                                                          Date

________________________                                       Parish Seal:

Sponsor email address

________________________

Sponsor Phone Number