Confirmation Preparation Registration

TEEN INFORMATION:

First Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Grade entering as of September 1st REQUIRED Please fill out this field. Please enter valid data.

Address Line 1 REQUIRED Please fill out this field. Please enter valid data.

Address Line 2 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.

High School: REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Sacraments

Baptism REQUIRED Yes No Please fill out this field.
Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
Date of Baptism Please enter valid data.
Sent copy of Baptismal Record to Parish Office (if not from St. Mary's or Good Shepherd) Yes No
First Holy Communion REQUIRED Yes No Please fill out this field.

Teen's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

OK to text teen? REQUIRED Yes No Please fill out this field.

Teen's Email REQUIRED Please fill out this field. Please enter an email address.

OK to email teen? REQUIRED Yes No Please fill out this field.

*Please note that our primary means of communication is through Flocknote. Teens and adults will receive the same notifications. This method of communication is compliant with Safe Environment Training and standards in keeping with the National Policy for the Protection of Children and Youth set by the USCCB.
It is compliant by keeping all correspondence archived, having multiple administrators managing the group, and NOT allowing private phone numbers to be revealed so teens cannot respond to an individual.

By checking "I Agree" you give permission to use your teen's phone number and email for communications and contact.

Response REQUIRED I agree I disagree Please fill out this field.

First Parent's Full Name REQUIRED Please fill out this field. Please enter valid data.

First Parent's Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

First Parent's Email REQUIRED Please fill out this field. Please enter an email address.

Second Parent's Full Name Please enter valid data.

Second Parent's Cell Phone Number Please enter a phone number.

Second Parent's Email Please enter an email address.

PICTURE RELEASE
By picking the I Agree box below you hereby grant permission for all photographs taken of your child(ren) at St. Mary Faith Formation and Parish programs to be used on our website for the program or parish.

I Agree Please select this field.

Volunteer Opportunity

If interested in helping out as a volunteer please fill in the following:
First Name Please enter valid data.

Last Name Please enter valid data.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.

It is the policy for St. Mary Church to welcome everyone.
No one will be denied due to financial constraints.
Kindly inform us of any needs.

Program Fee REQUIRED 100.0 – Registration fee (DOES NOT include retreat fee) Please fill out this field.

Comment(s)

After all required information is filled in pick PAY NOW or PAY LATER to submit your teen's registration