Clone of CONFIRMATION-LIFETEEN 25-26

1

Welcome to
St. Anthony of Padua
CONFIRMATION ENGLISH FORMATION PROGRAM

Is your teen seeking the Sacrament of Confirmation?

Please note that in the Diocese of Fresno, teens must be at least 16 to receive the Sacrament of Confirmation.

2

Will your TEEN be 16 before March 2027?* This field is required.

YES

NO

3

Please get in touch with the Director of Confirmation

Jaime Torkelson @ (559) 439-0124 x117 or at jtorkelson@stanthonyfresno.org

Thank you!

4

Please Select 1st or 2nd Year of Confirmation or LIFETEEN* This field is required.

CONFIRMATION 1 (10th - 12th grade)

CONFIRMATION 2 (10th - 12th grade)

NEED BAPTISM & FIRST COMMUNION

5

Teen's Last & First Name* This field is required.

Last Name

Middle Name -

First Name

6

Gender* This field is required.PLEASE SELCT

7

Date of Birth* This field is required.

8

CURRENT AGE* This field is required.

9

Mother's or Legal Guardian Full Name * This field is required.

First Name

Middle Name

Last Name

10

Mother's or Legal Guardian E-mail* This field is required.

11

Mother's or Legal Guardian Mobile Number* This field is required.

Area Code

Phone Number

12

Is Mother Baptized, Confirmed Catholic?* This field is required.

YESNO

13

Father's Full Name

First Name

Middle Name

Last Name

14

Father's Mobile Number

Area Code

Phone Number

15

Father's E-mail

example@example.com

16

Is Father Baptized, Confirmed Catholic?* This field is required.

YESNO

17

Family Address* This field is required.

Street Address

City

State / Province

Postal / Zip Code

Country

18

Is Family registered with St. Anthony of Padua Parish?* This field is required.

YESNO

19

What Parish do you Attend Mass Regularly?* This field is required.

20

Is this Student Baptized?* This field is required.

YES, BAPTIZED IN THE CATHOLIC CHURCH

BAPTIZED IN A DIFFERENT CHRISTIAN TRADITION - WITH BAPTISMAL DOCUMETS

BAPTIZED IN A DIFFERENT CHRISTIAN TRADITION - WITH NO BAPTISMAL DOCUMETS

NOT BAPTIZED - MY TEEN IS SEEKING THE SACRAMENTS OF INITIATION

21

PLEASE UPLOAD A COPY OF BAPTISMAL CERTIFICATE* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 2.0MB

Browse Files

22

PLEASE UPLOAD A COPY OF BAPTISMAL DOCUMENT* This field is required.BAPTIZED IN A DIFFERENT CHRISTIAN TRADITION

Drag and drop files here

Select files to upload

Max. file size: 2.0MB

Browse Files

23

Name of Church where Baptism took Place?* This field is required.

24

PLEASE UPLOAD A COPY OF BIRTH CERTIFICATE* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 2.0MB

Browse Files

25

Is this your Teen's First Year of Baptismal Preparation?

YESNO

26

Has this Teen Completed the First Year with the Life Teen Program?* This field is required.

YESNO

27

Has this Tenn Completed the First Year in the EDGE Middle School Program?* This field is required.

YESNO

28

Has this Teen Completed the First Year at a Different Parish?* This field is required.

YESNO

29

Please provide a Letter of Transfer from that Parish* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 2.0MB

Browse Files

30

Has this Student received First Communion?* This field is required.

YES

No. My TEEN needs the Sacraments of First Reconciliation (Confession) and First Communion.

31

UPLOAD FIRST COMMUMIOM CERTIFICATE* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 2.0MB

Browse Files

32

I give permission for my child to receive information and updates via text message or email* This field is required.

YESNO

33

Teen's Phone Number* This field is required.

Area Code

Phone Number

34

Teen's Email* This field is required.

example@example.com

35

TEEN'S CONFIDENTIAL INFORMATION

36

Does your teen have any special needs due to a learning disability, physical disability, reading difficulty, hearing impaired, or emotional concerns?* This field is required.

YESNO

37

Please describe special needs:

38

Does your teen take any medications?* This field is required.

YESNO

39

Please list medications:

40

Does your teen have any allergies(including food allergies) chronic illness of other conditions?* This field is required.

YESNO

41

Describe Conditions:

42

Please SIGN and SUBMIT.

After submitting, you will be redirected to our secure ONLINE PAY FORM. Make sure to select the correct fee in the REGISTRATION FEE OPTION.

CONFIRMATION REGISTRATION FEE: $125

LIFETEEN REGISTRATION FEE: $125

You will also receive an email with a LINK containing the Diocesan Permission and Liability Forms: R22, R14, and R30.

PLEASE NOTE that your TEEN'S Registration is not complete until we receive these forms and the Registration Fee.

Thank you!

43

CONSENT* This field is required.

I understand and grant permission for my son/daughter to participate in the Confirmation Faith Formation program at St. Anthony of Padua Parish.

44

TOTAL PAYMENTCONFIRMATION

45

FIRMA* This field is required.Firma de Padres o Guardian Legal