HOLY APOSTLES CATHOLIC CHURCH
MERIDIAN, IDAHO
Confirmation Sacramental Record
FULL BAPTISMAL NAME (First, Middle, Last)______-
ADDRESS ______
CITY STATE ZIP ______
DATE OF BIRTH ______AGE ______
PLACE OF BIRTH ______
FULL NAME OF FATHER ______
FULL BIRTH NAME OF MOTHER ______
NAME OF SPONSOR ______
CONFIRMATION SAINT NAME ______
CHURCH OF BAPTISM ______
ADDRESS (of Church of Baptism)______
______
DATE OF BAPTISM______
Office Use Only
______
DateMinister of Sacrament
- Copy of Baptism Certificate _____
- Confirmation Sessions _____
- Confirmation Retreat _____
- Service Project _____
- Letter to the Bishop _____
- Sponsor Registration Form _____
- Confirmation Rehearsal _____
Parent Email______
Parent/Guardian/Emergency Contact Information
First/Last Name / Relationship to Teen / Cell Phone / Work PhonePermission Release (Please read and sign)
•I do hereby give permission for my teen to participate in Holy Apostles Faith Formation programs. I agree to hold the Diocese of Boise, Holy Apostles parish, staff and volunteers free from liability for any illness or injury that might be incurred by my teen during these events. Should any injury occur, I hereby give my permission for my teen to receive treatment from a physician to be selected by a Holy Apostles staff member if s/he is unable to reach me or my family physician.
•I understand that Holy Apostles parish, staff, and volunteers are not responsible for my teen’s transportation to and from Holy Apostles Faith Formation events. Nor is Holy Apostles parish, staff, or volunteers responsible for my teen should they leave the immediate area where the event is taking place or choose to stay after an event has taken place.
•By registering my teen I understand that I am still the primary religious educator for my teen. I agree that I will make sure my teen attends class regularly and on time. I will reinforce class lessons and keep in touch with the coordinator/core team to help all I can.
•I will live and practice my Catholic faith and be a good example for my teen to follow.
•I give Holy Apostles permission to use any photographs of my teen for advertising purposes.
Parent/Guardian Signature: ______Date:______
First, Last Name / M/F / Birth Date M/D/Y / SchoolTeen Information:
Medical Conditions, Allergies,
Registration Fees/Payment Information
If fees are a financial hardship and a payment plan is needed, please contact the Bookkeeping Department in the Main Office and they will be happy to assist you.
Registration Fee: $30** per teen $ _____ TOTAL ENCLOSED
** There will be a separate charge for the Confirmation Retreat ($40) that will be collected at the time of the retreat.
Payment (Enter Amount & Type of Payment): Cash $______Check (Made Out To Holy Apostles) $______
Credit Card: MC Visa Discover (Please circle card type and use table below)
Credit Card Info / Card# / Exp Date: / Amount $:
Credit Card Billing Address:
City: State: Zip:
Name on card (Please Print):
Signature: