St. John Vianney Catholic Church 2017-2018 Confirmation Registration Form
CONFIRMATION PREPARATION (11th and 12th Grades) : Mondays @ SJV (7pm - 8:30pm) Confirmation preparation is a program that leads high school juniors and seniors (11th grade and up ONLY and 16 years old) into a relationship with Jesus Christ and his Church using orthodox and dynamic teaching to prepare them for the Sacrament of Confirmation.
SJV Registration Name *
(Family Last Name)
Your answer
Student Information
Student's First Name *
Your answer
Student's Last Name *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
School *
Your answer
Grade this school year *
Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Primary Phone # *
Your answer
Student's Cell Phone # *
Your answer
Is it okay to text student?
Student's Email *
Your answer
Parent Information
Head of Household *
Your answer
Spouse's Name
Your answer
Religion *
Email Address *
Your answer
Parents Primary Phone # *
Your answer
Parent's Cell Phone #
Your answer
Is it okay to text Parent?
SACRAMENTAL INFORMATION
**Copies MUST be turned in with this registration form to reserve your place in class**
Baptism Church
Your answer
Baptism City
Your answer
Baptism State
Your answer
Reconciliation Church
Your answer
Reconciliation City
Your answer
Reconciliation State
Your answer
Communion Church
Your answer
Communion City
Your answer
Communion State
Your answer
Emergency Contact
Please put an ER contact OTHER than the parent. SJV will always call the parents 1st. This is only for emergencies when the parents cannot be contacted.
Emergency Contact Name: *
Your answer
Emergency Contact Phone # *
Your answer
Emergency Contact Alternate Phone # *
Your answer
Emergency Contact's Relationship with Child *
Your answer
Health concerns, food allergies, learning disabilities (ex. test anxiety, epi-pen for peanut allergy, diabetic, etc)
Your answer
Parish Registration
Are you registered at St. John Vianney? *
**If you are registered at another parish, we must receive a letter from your pastor giving his permission to receive Confirmation at St. John Vianney. $100 fee will also be due to St. John Vianney.**
If No, Which Parish?
Your answer
Youth Protection/Photography Permission
I give permission for this child to participate in the Archdiocese of Santa Fe’s Protection of Youth Class which is intended to follow the guidelines of the USCCB’s instruction: “Dioceses will establish safe environment programs that will provide education and training for children, youth, parents, ministers, educators, and others about ways to make and maintain a safe environment for children.” *
I give SJV permission for my teen to be photographed and put on social media. *
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