Confirmation II Registration Form 2019-2020

Grade 9 * 2019-2020

CONFIRMATION II
Grade 9

 

Gather: Sundays from 3:15pm-4:45pm then Mass at 5:00pm
Location: Parish Hall 
Fee: $150.00 *includes retreat

Parent & Teen Meeting on Aug 25, 2019
3:15pm in the Parish Hall

SCHEDULE


Sept 15
Oct 6
Nov 3, 17
Dec 8
Jan 12
Feb 2, 16
Mar 1, 15
Apr 5, 19

RETREAT
Nov 15-17

Ministry Assistance

We are always in need of assistance. Please contact the Parish Office if you are interested in serving as a Small Group Lead or Substitue Leader.

**All adults over 18 must comply with the Diocesan policy for Protecting God's Children. (Background Screening, Code of Conduct and Virtus Training prior to the first class)

Contact Information
Last Name
Address
Father's Name
Cell Phone --
Mother's Name
Cell Phone --
Email
Emergency Contact Name
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Emergency Contact Relationship
Emergency Phone Number --
Teen 1
Teen's Name
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Birth Date //
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Gender
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Grade
Sacraments Completed
Buddy Request Who would you like to be in the same small group with?
Teen 2
Teen's Name
  •  
Birth Date //
  •  
Gender
  •  
Grade
Sacraments Completed
Buddy Request Who would you like to be in the same small group with?
Additional Details
Special Needs/Medication
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Please list child's name & needs. Send procedure plan to parish office if needed.
Was each teen registered at St Peter for Confirmation I last year?
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If No, who, where & grade?
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Permission & Medical Treatment Waiver
I do hereby give my permission for my child(ren) to attend St. Peter Catholic church CONFIRMATION PROGRAM to be treated for a medical emergency in my absence. The Director of Youth Ministry or Adult supervisor may act as an agent in my absence. In case of accident, I do not hold the Diocese of Palm Beach, the parish, its staff, or the adult chaperones responsible.
I give my permission
Comments:
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Photograph and / or Videotape Consent & Release
I hereby grant to St. Peter Catholic Church the right to photograph and/or videotape me and further to use my name, face, likeness, voice, and appearance in connection with exhibitions, publicity, advertising, and promotional materials without any reservation, limitation, or consideration. This waiver specifically releases any common law causes of action or claims under Fla. Stat. 540.08 and expressly constitutes written consent for publication of my name, face, likeness, voice and appearance. I certify that I am the parent or legal guardian of the above participant(s), and that I have read the foregoing release and examined the information in the description. I hereby join in each and every part of this Photograph and/or Videotape Consent and Release (including such part as may subject me to personal financial responsibility) and hereby relinquish any claims that I may have against Sponsor as set forth above, both in my own behalf and in my capacity as legal representative (as applicable) of the participant, including without limitations any claims arising as a result of the participants leaving the supervision of Sponsor. I agree that if any portion of this document is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
I have read, understand and agree with the Consent & Release Above
Comments:
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Parent Signature
Once you submit this form, the confirmation page will have information to help you calculate your tuition and make an online payment.
Flocknote
Flocknote is an email and text messaging tool we will be using to keep you and your teen informed. Please text CONF to 00000 to sign up. Please add your numbers below so we can easily confirm your account.
Parent Cell Phone --
Teen Cell Phone --
Payment
Shopping Cart  
Quantity Extended

$150.00 per teen | $150.00

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Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

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Mass Times:

Weekdays
8:00 AM & 5:30 PM

Weekends
Saturdays: 4:30 PM
Sundays: 8:00 AM, 9:30 AM, 11:00 AM, 12:30 PM, & 5:00 PM

Parish Email:

contact us via email


Parish Phone:

561-575-0837