Confirmation Registration Form 2017-2018
This form is for high school teens registering in our 2 year confirmation preparation. Each program (Children's Faith Formation, Sacramental Preparation, Middle School Youth Group, Confirmation, and High School Youth Group) has a different registration form. Please ensure you are on the right form, and you click SUBMIT at the bottom when you have completed filling in the form.
Mother Cabrini Retreat November 2015
Youth First Name
Your answer
Youth Last Name
Your answer
Youth Cell Phone Number
Your answer
Can IHM Youth Ministry send your youth texts?
Youth Date of Birth
Your answer
What grade are you in?
What's your t-shirt size?
What school do you attend?
Your answer
Sacraments Received
Required
Where were you baptized?
Church, City/State
Your answer
When were you baptized?
Month/Year- an estimate is fine, but you will need to provide a copy of the baptismal certificate ASAP!
Your answer
Where did you receive First Eucharist?
Church, City/State
Your answer
When did you receive First Eucharist?
Month/Year- an estimate is fine.
Your answer
Home Phone Number
Your answer
Mailing Address
Number and Street
Your answer
City
Your answer
Zip Code
Your answer
Parent/Guardian 1 Full Name
First/Last
Your answer
Parent/Guardian 1 Relationship to Youth
Your answer
Parent Cell Phone Number
Your answer
Parent E-mail
Your answer
Parent/Guardian 1 Marital Status
Parent/Guardian 1 Religion
Your answer
Parent/Guardian 2 Full Name
First/Last
Your answer
Parent E-mail
Your answer
Parent Cell Phone Number
Your answer
Parent/Guardian 2 Relationship to Youth
Your answer
Parent/Guardian 2 Marital Status
Parent/Guardian 2 Religion
Your answer
Emergency Contact Name
If parent/guardian cannot be reached at any above numbers)
Your answer
Emergency Contact Phone Number
Cell or Home
Your answer
Emergency Contact Alternate Phone Number
Cell or Home
Your answer
Emergency Contact Relationship to Youth
Your answer
Are you registered in our parish?
List any special needs
ADD, learning difficulties, physical difficulties, medications, allergies
Your answer
List any dietary restrictions
Vegetarian, vegan, food allergies
Your answer
Additional Paperwork Requirements for IHM Confirmation Preparation
The deadline for Confirmation Preparation 2017-2018 is August 26th, 2017. At this point, entrance interviews must be completed, copies of your baptismal certificate must be submitted to the IHM office, and your Sponsor Form must be completed and returned to the IHM office.
Consent to Photograph or Film for IHM Advertisements/Promotional Use
I consent to participation in interviews, use of quotes, and the taking of photographs or film of myself and the minor children in my guardianship or care. I grant Immaculate Heart of Mary Parish (IHM) the right to use the materials, without any compensation to me, for IHM advertising, editorial, or informational purposes. I release IHM and its agents and employees from all claims, demands, or liabilities in connection with the above.
Required
Document E-Signature
Please type your full legal name, and your initials as an e-signature
Your answer
Payment
A $40 registration fee for the year is required to participate. It can be paid through our secure online payment or cash/check can be accepted in the IHM office. If your family has multiple students participating in: Children's Faith Formation, Sacramental Preparation (Reconciliation & First Communion), Middle School Youth Group, High School Youth Group, or Confirmation, registration fees are $70 for 2 students, or $90 for 3+ students. To pay for formation programs online, click on the hyperlink to access the secure webpage and complete your payment. https://www.eservicepayments.com/cgi-bin/Vanco_ver3.vps?appver3=wWsk24ZWJSTZKsGd1RMKlg0BDvsSG3VIWQCPJNNxD8upkiY7JlDavDsozUE7KG0nFx2NSo8LdUKGuGuF396vbRymoPKq30mtsfqysrNgvYqXHubq5Z7ap5JVmPErc4ZeYHCKCZhESjGNQmZ5B-6dx8af6bzc34ZkTaHRkO94x2Y=&ver=3
NOTE: You will need to click "SUBMIT" on the Confirmation Registration Form 2017-2018 to send in your registration information and complete the registration process.
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