Confirmation Registration Primary Contact * First Name Last Name Email * Phone * (###) ### #### Relationship to Student * Secondary Contact First Name Last Name Email Secondary Phone Secondary (###) ### #### Relationship to Student (Secondary) Emergency Contact * First Name Last Name Emergency Contact Phone * (###) ### #### Primary Address * Address 1 Address 2 City State/Province Zip/Postal Code Country The student lives with: * Both Parents Father Mother Other (Please Specify) Other Youth Information Number of students registering * Student 1 * First Name Last Name Gender 1 * Male Female Date of Birth 1 * MM DD YYYY Grade 24/25 School Year 1 * School Attending 1 * Student 2 First Name Last Name Gender 2 Male Female Date of Birth 2 MM DD YYYY Grade 24/25 School Year 2 School Attending 2 Student 3 First Name Last Name Gender 3 Male Female Date of Birth 3 MM DD YYYY Grade 24/25 School Year 3 School Attending 3 Please indicate any medical needs, allergies, or other needs we should know of regarding your student(s). * Do you or any of your students wish to receive one of the Sacraments of Initiation (Baptism, Eucharist, Confirmation)? * *This does not include Confirmation for the student(s) you are registering. No Yes, I am looking to receive a Sacrament Yes, my student(s) need(s) to receive Baptism and Eucharist Please thoughtfully and honestly answer the questions below. This helps us to better understand where families and students are so we can best accompany you in preparing your son or daughter for the Sacrament of Confirmation. Please note that as preparation for Confirmation begins, we do have the following expectations: Weekly Sunday/Saturday evening Mass attendance Attendance at large and small group gatherings Participation in service in the parish and community Why do you desire the Sacrament of Confirmation for your child? Do you think your child currently desires to receive the Sacrament? Why or why not? * What responsibilities do you see accepting as your child prepares for the Sacrament of Confirmation? * I attend Mass on the weekends: * Always Often Infrequent Never Media Release * I hereby authorize and give full consent, without limitation or reservation, to the Co-Cathedral of St. John the Evangelist, to publish any photograph or video in which my child(ren), named above, appear(s) while participating in any program associated with St. John's. There will be no compensation for use of any photograph or video at the time of publication or in the future. Publication is defined as any print or digital media, including posts to social media, parish email updates, and bulletin articles. I Agree I Disagree Electronic Signature * Signing here signifies that you have read the previous statement regarding use of photos and other media. I have read the above statement regarding media. Today's Date * MM DD YYYY Confirmation Registration Fee: $60 per student *Upon submission of this form, you will be redirected to a payment area where you will need to submit payment. Thank you! Register students preparing for the Sacrament of Confirmation here. Confirmation Preparation is a two-year process that begins in 9th grade.Please fill out the below form entirely. Upon completing the form, you will be redirected to a separate page for payment.Year I CalendarYear II Calendar
