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Adult Confirmation

Application for Confirmation, Reception, or Reaffirmation

This field is for validation purposes and should be left unchanged.
Name(Required)
I'm interested in…(Required)
MM slash DD slash YYYY
(City, State, Country)
Address(Required)

Others in the household:

Person #1

Name
I'm interested in…
MM slash DD slash YYYY
(City, State, Country)

Person #2

Name
I'm interested in…
MM slash DD slash YYYY
(City, State, Country)

Person #3

Name
I'm interested in…
MM slash DD slash YYYY
(City, State, Country)

Person #4

Name
I'm interested in…
MM slash DD slash YYYY
(City, State, Country)