St. James and St. Mary Parish Confirmation Sponsor Eligibility Form

Please Return Form to: St. James Parish c/o Ann Hemmy P.O. Box 280 Amherst, Wisconsin 54406

I, ____________________________ (Name of Sponsor), a practicing member of_______________________(Name of Parish)  testify by my answers and signature below that I am qualified to serve as a Confirmation sponsor in the Catholic Church for

____________________________________ (Name of Confirmation Candidate). __________________________________________________________________________________________.

Please circle either YES or NO for each statement below

YES     NO      I am a Roman Catholic.

YES     NO      I am at least 16 years old.

YES     NO      I have received the Sacrament of Confirmation and Eucharist in the Catholic Church

YES     NO      I am free to receive Holy Communion when I participate in the Eucharist

YES     NO      I am someone other than a parent of this candidate

__________________________________________________________________________________________

Answer the following ONLY if married: 

YES    NO       Was your present marriage celebrated in the presence of a Catholic bishop, priest or deacon of if celebrated outside a Catholic Church was done so with the written permission of a Catholic bishop? (If not, please provide a written explanation). 

______________________________________________________________________________________________________________

Answer the following ONLY if unmarried:

YES    NO      Are you living with another person in a romantic relationship or as a couple?

__________________________________________________________________________________________

I sign this document in the presence of a Catholic priest or deacon or a representative of the pastor of a Catholic Church and understand that by my signature that what I have answered above is truthful.

Sponsor Signature ________________________________________________________________________

Church Representative Signature ______________________________________________________________________

Church Representative Title __________________________________________________________________________

Church Representative Parish _________________________________________________________________________

Church City/State ___________________________________________________________________________________

Date ___________________________                                                                                                                                    PARISH SEAL