You can always press Enter⏎ to continue
2019-2020 Confirmation Registration
If your child is in 9th or 10th grade and will not be receiving the sacrament of Confirmation this year, please register via the High School General Formation Registration instead of this form.
START
1
Image Field
Previous
Next
Submit
Press
Enter
2
Image Field
Previous
Next
Submit
Press
Enter
3
Candidate Information
*
This field is required.
Please remember all candidates must be 16 years of age by the celebration date. If your child is in 9th or 10th grade please be sure to complete the general formation registration instead of this form.
Candidate Name
Please Select
Male
Female
Please Select
Please Select
Male
Female
Gender
Please Select
Grade 11 (Grad. Year 2021)
Grade 12 (Grad. Year 2020)
Please Select
Please Select
Grade 11 (Grad. Year 2021)
Grade 12 (Grad. Year 2020)
Current Grade and Graduation Year
Please Select
Baptism
Baptism, First Reconciliation, and First Communion
Please Select
Please Select
Baptism
Baptism, First Reconciliation, and First Communion
Sacraments Already Received
Medical/Behavioral Conditions: Please List all conditions, warning signs, and actions to be taken.
Please Select
I give permission to
I do not give permission to
Please Select
Please Select
I give permission to
I do not give permission to
Transport my child to a hospital for emergency medical treatment or to administer any medication already provided to the parish.
Previous
Next
Submit
Press
Enter
4
Required Baptism Certificate
*
This field is required.
The following information is required by Holy Family to verify earlier sacraments received and to complete the Confirmation and Baptismal Sacramental Registries. *If the candidate was not baptized at a Holy Family location you must TURN IN an Baptism Certificate for the candidate. In order to keep this requirement as simple as possible you may take a picture of the candidate's Baptism certificate and email it to Amanda Zinthefer at amandaz@hffdl.org rather than turning in a hard copy. This certificate should be given to Amanda Zinthefer no later than the Introductory Session.
Name on Baptism Certificate: First Name (Middle Name)
Name on Baptism Certificate: Last Name
Place of Baptism: Parish (City, State)
Date of Baptism
Parents Names (Please include the candidate's mother's maiden name.)
Address of Candidate
Previous
Next
Submit
Press
Enter
5
Additional Confirmation Information
*
This field is required.
Please note that as of the current date our liturgy selections have not been confirmed by the Archdiocese of Milwaukee. If there are any changes to the schedule we will inform you of said changes as soon as they are made available to us.
Please Select
My child attends Public School and will join the required faith formation class.
My child attends Catholic School and receives faith formation daily within the school building.
Please Select
Please Select
My child attends Public School and will join the required faith formation class.
My child attends Catholic School and receives faith formation daily within the school building.
If the candidate does not attend Catholic school they will be automatically enrolled in the required faith formation class..
Please enter the candidate's email address -please make sure this is current and the candidate's address rather than a parent's.
Please Select
May 2nd Holy Family 9 am
May 8th Sacred Heart 6 pm
Please Select
Please Select
May 2nd Holy Family 9 am
May 8th Sacred Heart 6 pm
Confirmation Liturgy Selection - Liturgy Selection by not be changed after the March 8th Small Group Session.
Previous
Next
Submit
Press
Enter
6
Retreat Selection
*
This field is required.
Please select your first and second choices for retreat weekends. All selections will be confirmed at the Introductory Session. Emergency changes can only be made until September 13th by noon, require an individual email request, and a $25 change fee. (All retreats run from 5:45 PM on Friday until noon on Sunday.)
Please Select
The Weekend of November 1st
The Weekend of November 15th
The Weekend of November 22nd
Please Select
Please Select
The Weekend of November 1st
The Weekend of November 15th
The Weekend of November 22nd
First Choice
Please Select
The Weekend of November 1st
The Weekend of November 15th
The Weekend of November 22nd
I am honestly unable to attend any other weekend besides the weekend selected above.
Please Select
Please Select
The Weekend of November 1st
The Weekend of November 15th
The Weekend of November 22nd
I am honestly unable to attend any other weekend besides the weekend selected above.
Second Choice
Previous
Next
Submit
Press
Enter
7
Small Group Session Selection
*
This field is required.
All six sessions are required, an hour and half in length, and are held immediately preceding or following the required Mass of your choice at Sacred Heart or Holy Family on Sundays. All dates for the sessions are available on the calendar on the Holy Family website. Once you make a Mass selection you may not switch to another time slot. Specific small group locations are subject to change.
Previous
Next
Submit
Press
Enter
8
Parent Information
Mother's (or Guardian's) Name
Mother's (or Guardian's) Cell Phone
Father's (or Guardian's) Name
Father's (or Guardian's) Cell Phone
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is the mother or father a registered member of the parish?
If you answered "no," to which Parish do you belong?
Previous
Next
Submit
Press
Enter
9
Parent Email
*
This field is required.
Please provide a valid email to receive all programs updates.
example@example.com
Confirm Email
Previous
Next
Submit
Press
Enter
10
Emergency Contact Information
*
This field is required.
If we are unable to reach a parent/guardian at the above numbers, contact:
Alternative Contact Name
Alternative Contact Phone Number
Previous
Next
Submit
Press
Enter
11
As a parent I would like to help support the program by assisting with the following task:
*
This field is required.
Please select at least one of the following. You or a family member (grandparent, aunt, younger sibling, etc.) may volunteer as a lay minister of the Mass as long as you are properly trained. Please remember to coordinate your support with the scheduled times you have already signed up for. If you need to, you can look back through your registration by using the scroll buttons on the bottom.
Previous
Next
Submit
Press
Enter
12
*
This field is required.
By checking the box below you agree to the photo permission, safeguarding permission, and consent and release for all children listed on this form. You should scroll below to fully read Holy Family's terms & conditions. If you would not like to agree to these terms and conditions please email Amanda Zinthefer at amandaz@hffdl.org.
Previous
Next
Submit
Press
Enter
13
Parent or Guardian Signature
*
This field is required.
Clear
I certify that the above facts are true.
Previous
Next
Submit
Press
Enter
14
I understand that payment must be submitted online, mailed, or dropped off to the Holy Family Office. A spot will not be saved for my candidate(s) until payment has been received or a payment/financial aid plan has been approved.
*
This field is required.
$155 for each Public School Student (This price includes the fee for the Confirmation program, General Formation program, and Confirmation Retreat). $105 for each Catholic School Student (This price includes the fee for the Confirmation program and Confirmation Retreat.) Payment: Follow the prompts after submission to pay with a card OR Checks can be made out and mailed to: Holy Family Catholic Community Attention: Amanda Zinthefer 271 Fourth Street Way Fond du Lac, WI 54937. Financial aid is available. For more information, contact Sabina Carter at scarter@hffdl.org or (920) 921-0580.
YES, I understand.
NO
Previous
Next
Submit
Press
Enter
15
Thank you for taking the time to sign up for Confirmation. After you click next you will be redirected to the Holy Family Online Bill Pay System where you will be able to pay with a credit or debit card. If you do not wish to pay online simply hit next and then close out of the following screen which will be the payment screen.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
15
See All
Go Back
Submit