High School Confirmation Registration 2022-2024

High School Confirmation Registration 2023-2025
Confirmation preparation for High School is a two year process that prepares students to receive the Sacrament of Confirmation.

In order to complete the registration, please have your teen's Baptism Certificate and First Communion Certificate ready to upload as well as card/mobile payment (Apple Pay is only accepted on a Safari Browser).

If you do not have a baptism certificate and/or first communion certificate, please contact the parish at which your child was baptized.

One time payment of $500 includes both Year 1 & Year 2 registration as well as the Year 1 on-site retreat and Year 2 off-site retreat.

Confirmation Student Information
Name*

First NameLast Name
Gender*

MaleFemale
Birth Date*

MonthDayYear
What school does your teen attend?*
Grade*
Student Email*
*by entering the student's email. you are authorizing the Office of Youth Ministry to contact for Confirmation & Youth Ministry purposes
Student Cell Number
*by entering the student's cell phone number, you are authorizing the Office of Youth Ministry to send reminders for Confirmation & Youth Ministry purposes
Faith Formation Information
Has the Confirmation Student received Baptism?*

Yes, at Holy TrinityYes, at another ParishNo
Has the Confirmation Student received First Communion?*

Yes, at Holy TrinityYes, at another ParishNo
Name of Church your teen was baptized in:*
Upload Baptism Certificate here:*

*please make sure the image or scan of the document is clear
Cancelof
What church and city did the Confirmation student receive First Communion?*
Upload First Communion Certificate here:*

*please make sure the image or scan of the document is clear
Cancelof

Parent/Guardian Information
Is your family registered as parishioners at Holy Trinity?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name:*

First NameLast Name
Mother's Maiden Name *
Mother's Email*
example@example.com
Mother's Cell Phone Number*
Father's Name:*

First NameLast Name
Father's Email*
example@example.com
Father's Cell Phone*
Emergency Contact Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Health Information
Insurance Carrier:*
Policy/Group Number:*
Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe. If not please write N/A.*
Is the participant prescribed an Epi-Pen or Inhaler? If yes, please explain any instructions. If not please write N/A.*

Permission, Liability, Media & Medical Waiver
I, [the parent (guardian)] of, name of student* hereby give my permission for my child's participation in the Confirmation Process from 2023-2024 & 2024-2025 academic years at Holy Trinity Catholic Church. As a condition of my child being allowed to do so, I hereby release and discharge the Diocese of Orange, Holy Trinity Catholic Church, its constituent organizations, including, but not limited to, The Roman Catholic Bishop of Orange, a Corporation Sole, and their officers, employees and volunteers from any and all claims for personal injuries or property damage that s(he) may suffer as a result of his or her participation in the activity described above, whether or not such injuries or damages are caused by the negligence, active or passive, of any of the entities or individuals named or described above.

I agree to direct my child to cooperate and follow directions and instructions of parish, or Diocesan personnel responsible for all activities.

I agree, that in the event of injury as a result in my or my child's participation in the above activity, including transportation to and from these activities, whether or not caused by the negligence, active or passive, of the parish, school, or Diocesan youth activities program or any of its agents, employees or volunteers, recourse for the payment of any resulting hospital, medical, dental treatment or related costs and expenses will first be had against any accident, hospital, medical or dental insurance, or any available benefit plan of mine or my spouse. I am not aware of any medical condition which would render it inappropriate for participation in any activity.

I hereby give permission to the physician, nurse, dentist or licensed care staff selected by the supervisory personnel then present to render medical, dental or other appropriate treatment deemed necessary and appropriate by the physician, nurse, dentist or licensed care staff.

I, hereby, authorize the making of photographs, motion pictures, video tapes, or other recordings memorializing said event and my child’s participation therein, and the publication and duplication or other use thereof. I, hereby, waive any rights to compensation or any right that I otherwise might have to limit or to control such making or use.

I understand that High School Confirmation is a two year commitment. Therefore, I acknowledge that registration/retreat refunds will not be available if my child chooses not to continue the program at Holy Trinity for any reason.
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Parent Name*

First NameLast Name
Parent/Guardian Signature*

Clear

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High School Confirmation Registration 2023-2025

Confirmation Student Information

Faith Formation Information

Parent/Guardian Information

Emergency Contact Information

Health Information

Permission, Liability, Media & Medical Waiver

Payment Methods