Confirmation Registration Form

High School Confirmation Registration (1/5)

To be completed by Student
Student Name*

First NameLast Name
Prefer to be called:
Birthday*

MonthDayYear
Date
MaleFemale
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student Email*
example@example.com
Grade in Fall:*
School:*
Year of last religious education class:*
Parish of last religious education class:*
Interests and Hobbies:

High School Confirmation Registration (2/5)

To be completed by Parent
- Baptism*
- 1st Reconciliation*
- 1st Eucharist*
- Mother's Name*
  
  First NameLast Name
- Mother's Occupation*
- Mother's Religion*
- Mother's Maiden Name*
- Mother's Marital Status*
- Mother's Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Mother's Email*
  example@example.com
- Father's Name*
  
  First NameLast Name
- Father's Occupation*
- Father's Religion*
- Father's Marital Status*
- Father's Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Father's Email*
  example@example.com
- Emergency Contact*
- Parish in which you are registered, active, supporting members:*
- Student's special learning concerns:
- Student's special medical concerns:
- Any other information you would like us to know about your teen:

Class, Mass, and You! (3/5)

All students in the Confirmation Program at St. Timothy's must meet certain

attendance requirements and are as follows:

CLASS

Students will be allowed a MAXIMUM of three (3) excused absences during the

year (including illnesses), with assigned make-up work to be completed. It is very

important that you attend all of your class sessions and activities/events as a great

deal of material is presented and discussed in each session. Make-up work will be

assigned and must be satisfactorily completed for missed classes. An excused

absence is one of which the catechist and CYM have at least one week's prior

written notice, and for which the make-up work has been completed. Illnesses are

naturally unforeseen and will be excused, but they will still count toward your

three maximum. If you miss more than three classes you will be required to

repeat the program year. If you do not complete the retreat requirement for your

class level, you will be required to repeat the program year.

MASS

As a Catholic, you're obligated to attend Mass every Sunday and Holy Day of

Obligation. In signing up to be part of this program, you're saying that this is the

faith family that you want to worship with and call your home. You can go

elsewhere for Mass as well, of course, but at least 75% of your liturgy attendance

should be here with this worshipping community. To assist you in learning to reflect

on and apply the Sunday teachings to your personal life, a brief Homily Reflection

may be required after every mass.

YOU!

This year will be what YOU make it. We have lots of activities and talks and fun

stuff planned to make your learning experience a good one. But YOU have to

commit to being here and participating fully in all of it. If you come with a

negative attitude, it will cause you and those around you to have a negative

experience. If you come with an open mind and heart, you'll get a whole lot

more out of this year. Your parents and teachers are here to give you all the

support you need, but the ultimate responsibility lies with you.

I understand and agree to abide by the above stated requirements.
Student Signature*

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Date*

MonthDayYear
Date
Parent Signature*

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Date*

MonthDayYear
Date

ST TIMOTHY CATHOLIC PARISH (4/5)

CONFIRMATION PREPARATION DISCIPLINE GUIDELINES

Dear Parent or Guardian,

Discipline is an essential aspect of development. Its purpose in an educational setting is to

provide an environment conducive to learning, to educate students to an appreciation of the

importance of developing self-control and responsibility for their actions. Discipline works best

where the dignity of every person involved is respected. If a person is accused of wrongdoing

s/he will be informed of what s/he did that was wrong and will be given a chance to present

his/her side of the story. The age and maturity of the child will be taken into account in making

such an assessment.

The Diocese of San Diego guidelines regarding religious education classroom discipline (DCM

Guideline #22) requires that parents and students be informed of the parish's policy for behavior

standards prior to the beginning of the school year. Please go over the following guidelines, sign

them, and return them with your child's registration form. If you have any questions or concerns

please do not hesitate to contact Justin Mora, the Youth and Young Adult Coordinator at

760-300-1460.

1. Class Rules
- Keep hands, feet, and objectst to yourself. No teasing or swearing.
- Electronic devices must be turned off & put away and may be used with instructor/Youth and Young Adult Coordinator permission only. These include but are not limited to: laptop computer, tablet, cell phone, etc.
- Follow directions (including dress code) and participate in class.
- Possession and/or use of illegal substances will not be tolerated and will result in a call to the student's parent/guardian for immediate pickup.
2. Consequences for Broken Rules
- First consequence: warning from teacher
- Second consequence: meeting with teacher and/or Youth and Young Adult Coordinator
- Third consequence: if the problem persists a conference with the parents will be called and if no solution can be found then suspension from the program will be warranted.
**The consequences listed above are cumulative throughout the course of the year.**

It is absolutely forbidden for any disciplinary measure to involve personal indignities,

humiliation, indiscriminate punishment, sending students outside the classroom without adult

supervision, or corporal punishment of any kind.

I have read the Disciplinary Guidelines as stated above and agree to abide by them.
Student Signature*

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Date*

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Date
Parent Signature*

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PHOTO/VIDEO RELEASE (5/5)

Office for Youth Ministry

This letter authorizes St. Timothy Catholic Parish of the Catholic Diocese of San Diego, its representatives, or volunteers, to photograph or record on audio and/or video (tape, digital, or online meeting platforms) my child, during Confirmation and Confirmation preparation between September 2023 and May 2024. Photos, audio, or video may be used in printed materials and any other visual display or media.

I understand that such photos and/or video recordings will be used for Youth Ministry related purposes and will not be used for any commercial purpose whatsoever. I therefore hereby waive any kind and all rights I may have for remuneration of any kind that could otherwise accrue for the uses of such photos and/or audio or video recordings.

Revised: 8/2020
Parent Signature*

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Date*

MonthDayYear
Date
Fee: $125 per child. $175 for two. $225 for three or more.

If you have multiple children in 7th/8th Grade RE and/or Confirmation, please submit the total fees on one registration form and leave the remaining registration forms without payment.

If there is a financial difficulty. please call me (760-300-1460) to discuss your situation and to receive a Financial Assistance application. Under no circumstance will any child be turned away from religious education due to financial hardship.

Payment

USDConfirmation Program Fee

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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High School Confirmation Registration (1/5)

High School Confirmation Registration (2/5)