Confirmation Initiation

Parish Affiliation REQUIRED Church of the Holy Spirit St. Joseph's Church Other Please fill out this field.

Family Information

Guardian's Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Street Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Children REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.

Emergency Treatment Protocol

If your child while participating in a Parish sponsored activity should experience a situation where emergency medical treatment is necessary, the parents will be contacted immediately at the number you have listed on this form.
Person to contact if guardian is not available REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Family Physician REQUIRED Please fill out this field. Please enter valid data.
Preferred Hospital REQUIRED Please fill out this field. Please enter valid data.
Physician's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
I/We being the parent or legal guardian of the above named child/ren, appoint the designated faith formation facilitator to act in my/our behalf in authorizing necessary emergency medical, dental, surgical care and hospitalization necessary to protect the child's life or health while he/she is participating in any parish faith formation activity occurring September 1, 2022 through June 30, 2023.
I Agree Please select this field.

REMIND APP: The Remind app will be the primary group communication platform for the Confirmation program. It will be used to share schedule and activity information with teens and parents. The use of this app does not reveal personal cell phone numbers, e-mail addresses or other contact information. The individual messaging option will not be used.

I consent of the use of this app. Please select this field.

PHOTO RELEASE: I give permission to the staff at St. Joseph's/Holy Spirit to use photos of my child(ren) for use in parish bulletins/publications, on the parish website, PowerPoint slideshows and parish-sponsored social media. (required)

Photo Release REQUIRED Yes No Please fill out this field.

Program Cost25.0

Confirmation Initiation

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Confirmation Initiation Registration