<p> St. Ann’s Episcopal Church 262 Middle Road, Sayville, NY 11782ST - 631-589-6522 / [email protected]</p><p>Confirmation Intake 2016</p><p>Please PRINT all information</p><p>Full Name ______First Middle Last</p><p>Address ______Street ______City State Zip</p><p>Home Phone ______Cell Phone ______</p><p>Email Address ______</p><p>Date of Birth ______Place of Birth ______</p><p>Date of Baptism ______Denomination ______</p><p>Church of Baptism ______</p><p>Mother’s Full Name ______</p><p>Father’s Full Name ______</p><p>Parent’s Address (if different) ______</p><p>*** Attach a copy of your Baptismal Certificate to this form ***</p><p>The Confirmation will be held at The Cathedral of Incarnation in Garden City, NY on Saturday, May 14 th , 2016 at 11:00 AM .</p><p>Please feel free to contact Fr. Jae at [email protected] or 631-589-6322 (x.13) if you have any question.</p><p>Page 1 of 2 Confirmation Covenant 2016</p><p>I, ______, vow to prepare myself for confirmation as a Christian in the Episcopal Church by:</p><p>. Attending all of the scheduled confirmation classes: 6 classes on every Tuesday at 7:00 PM from April 5th to May 10th, 2016. I will make attendance at confirmation classes a priority. If I am unable to attend because of an emergency, I will work with my confirmation leader to review what I missed. I also understand that there is only one day available for making up a missed class. </p><p>. Attending worship at least 18 Saturdays or Sundays. (There will be a sign-in sheet in the sacristy.) When possible I will worship with the congregation where I am being confirmed. But if I am staying with a friend or family member who attends another congregation, I may worship with that congregation and bring a bulletin.</p><p>. Being faithful and active in worship services as a server (i.e., ushers) at least 6 weeks and Sunday school as an assistant at least 6 Sundays. (There will be a service schedule.)</p><p>. Serving others and serving the church in a spirit of Christ’s love. As a part of the confirmation program, I will complete at least four services I select: </p><p>□ Christmas Fair □ Community Garden □ Christmas Tree Unloading □ Christmas Tree Sales □ Sunday Coffee Hour □ Annual Meeting Breakfast, Food Server □ Shrove Tuesday Pancake Supper/ Food Server □ Wrapping Boxes/Baskets for Mercy Center</p><p>. Observe in a Vestry meeting on a 2nd Monday at 7:00 PM in Littlejohn (Date: TBD)</p><p>. Participating in Drug Prevention Programs of St. Ann’s Episcopal Church.</p><p>. Praying daily for my fellow confirmands, for the Diocese, the Clergy and my congregation, for my family, for my school and community, for my confirmation journey, and for all of the people and situations in the world in need of healing.</p><p>After being baptized and completing the confirmation course I will have the opportunity to stand before the congregation and in the Church for the Sacrament of Confirmation as found in the Book of Common Prayer. I understand that I may choose to be confirmed or to not be confirmed and that this decision belongs to me.</p><p>Signature of Confirmand ______Date ______</p><p>Page 2 of 2</p>