STOCYM Confirmation YEAR TWO Registration
This is the registration for the SECOND year of the St. Therese Confirmation Program. The fee for the Year Two Program is $175. Pay ONLINE at this link : https://tinyurl.com/y72fvwua OR Checks can be made payable to "St. Therese of Carmel" or "STOC" and delivered to the Parish Office.

***When paying online, make sure to add $175.00 to Year TWO Confirmation and include the participant(s) name in the notes section. If you are signing up more than one child, include the total amount and all of the participants names***

***IMPORTANT: Your teen is not considered registered until this form, payment of $175 (online), and a copy of their Baptismal Certificate has been submitted to the Parish Office electronically or in person. ***

Email address *
Student's Email Address
Your answer
Are you a registered parishioner at St. Thérèse of Carmel Catholic Church? *
Parish ID #
Your answer
Student First Name *
Your answer
Student Middle Initial *
Your answer
Student Last Name *
Your answer
Gender *
What High School Does Your Student Attend? *
Your answer
What Grade Will Your Student Enter in Fall 2018? *
Name of Student's Church of Baptism *
Your answer
Street Address of Church of Baptism *
Your answer
City and State of Church of Baptism (City, ST) *
Your answer
Zip Code of Church of Baptism *
Your answer
If Student Was Baptized in a Different Country, Please Add Additional Address Information Below
Your answer
Mother's Full Name *
Your answer
Mother's Maiden Name *
Your answer
Mother's Phone Number *
Your answer
Father's Full Name *
Your answer
Father's Phone Number *
Your answer
Are you interested in joining/ receiving more info about our parent committee?
Emergency Contact (Name/Relation to student) *
Your answer
Emergency Contact Number *
Your answer
Health Issues? *
Your answer
Anything Else We Need to Know About Your Student?
Your answer
By submitting this form, I authorize St. Thérèse of Carmel Faith Formation Personnel and volunteers to provide emergency medical treatment to my child if I cannot be reached *
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