St. Anthony Parish Confirmation Registration Form

SAINT ANTHONY OF PADUA CATHOLIC CHURCH

Confirmation Faith Formation Registration Form
Confirmation School Year
Confirmation Level

1st Year2nd YearContinuing Education
Note: Registrants must submit a copy of the Baptismal Certificate. Registration Fee: Donation of $25 per child
STUDENT'S FULL NAME*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Age*
School
Current Grade*
Student Phone Number
Email Address
example@example.com
Address*
Mailing Address
BAPTISM
Is your Child Baptized?

YesNo
Baptismal Date

MonthDayYear
Date
Parish/Location
FIRST CONFESSION
Date of First Confession

MonthDayYear
Date
Parish/Location
FIRST COMMUNION
Date of First Communion

MonthDayYear
Date
Parish/Location
ALLERGIES OR AILMENT
Any Allergies or ailments
FATHER'S INFORMATION
Father's Name*
Father's Religion
Father's Email Address
example@example.com
Father's Contact Number*
MOTHER'S INFORMATION
Mother's Maiden Name*
Mother's Religion
Mother's Email Address
example@example.com
Mother's Occupation
Mother's Contact Number*
EMERGENCY CONTACT INFORMATION
Emergency Contact*
EC Relationship to Student*
EC Contact Number*
SPONSOR'S INFORMATION
Sponsor's Name
Sponsor's Contact Number
Sponsor's Email Address
example@example.com
I, the parent/guardian of ("My Child"), hereby grant Saint Anthony Catholic Church (Parish) and/or the Archdiocese of Agaña (Archdiocese) and their agents the absolute right and permission to use photographic portraits, pictures, digital images or videos of My Child, or in which My Child may be included in whole or part, or reproductions thereof in color or otherwise for any lawful purpose whatsoever, including but not limited to use in any Parish or Archdiocese publication or on the Parish or Archdiocese websites or social media pages, without payment or any other consideration.

I hereby waive any right that may have to inspect and/or approve the finished product or the copy that may be used in connection therewith, wherein My Child's likeness appears, or the use to which it may be applied.

I hereby release, discharge, and agree to indemnify and hold harmless the Parish or Archdiocese and their agents from all claims, demands, and causes of action that I or My Child have or may have by reason of this authorization or use of My Child's photographic portraits, pictures, digital images or videos, including any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said images or videos, or in processing tending towards the completion of the finished product, including publication on the Internet, in brochures, or any other advertisements or promotional materials.

I represent that am at least eighteen (18) years of age and am fully competent to sign this Release.
Parent's Name*
Parent's Email*
example@example.com
Parent's Signature*

Clear
Relation*
Please upload copies of the Baptismal and First Holy Communion Certificate.

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SAINT ANTHONY OF PADUA CATHOLIC CHURCH

BAPTISM

FIRST CONFESSION

FIRST COMMUNION

ALLERGIES OR AILMENT

FATHER'S INFORMATION

MOTHER'S INFORMATION

EMERGENCY CONTACT INFORMATION

SPONSOR'S INFORMATION