Confirmation II Transfers 2024-2025

Confirmation Year 2 Transfers

Purpose by Life Teen | Holy Trinity Catholic Church | 2024-2025 School Year
Welcome, we are very excited for you to join the Confirmation Prep Process at Holy Trinity!

Please have the Baptism & First Communion Certificate of the teen ready to upload. If you do not have the certificates, please contact the parishes at which your child received those sacraments. *please have the letter of transfer and card payment for $250 at hand to fill out this form.
What church and city is your teen transferring from?*
Upload transferring Parish Year 1 Confirmation Completion Letter: *

*scanned PDF or clear photo of letter
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Student Participant Information
Name*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date
Age*
What school does your teen attend?*
If your school is not listed please enter it here
Grade*
Student Email
*by entering the student's email, you are authorizing the Office of Youth Ministry to contact for Confirmation & Youth Ministry purposes (Capo Valley High Emails do not allow access to outside organizations including Holy Trinity)
Student Cell Number
*by entering the student's cellphone number, you are authorizing the Office of Youth Ministry to contact for Confirmation & Youth Ministry purposes through Remind
Sacrament Information
Has your teen received their Baptism?*

Yes, at Holy TrinityYes, at another Catholic ParishYes, in a different Christian DenominationNo
Name of church your teen was baptized in:*
Church of Baptism Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where and what date did you receive your Profession of Faith*
*Church location and date
Upload Baptism Certificate here*

*scanned PDF or clear photo of certificate
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Has your teen received their First Communion?*

Yes, at Holy TrinityYes, at another ParishNo
What church did your Teen receive their First Communion?*
Church of First Communion Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload First Communion Certificate here*

*scanned PDF or clear photo of certificate
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Parent/Guardian Information
Is your family registered in our Parish?*

YesNo
Home 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 Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Does the teen participant have any allergies, chronic illness, or medical conditions? If yes, please describe. If not please write N/A.*
Is the teen 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 teen* hereby give my permission for my child's participation in 'Confirmation Preparation' from 2022-2023 school year 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/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.
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.
Health Insurance Information
Insurance Carrier:*
Policy/Group Number:*

I have carefully read through this online registration form and I have completed it to the best of my ability*

Yes
Parent Name*

First NameLast Name
Parent/Guardian Signature*

Clear
Should be Empty:

Confirmation Year 2 Transfers

Sacrament Information

Permission, Liability, Media & Medical Waiver

Health Insurance Information

Credit Card