Faith Formation Registration: Confirmation Year 1 2024-25

Welcome to Faith Formation at St. John Paul II Catholic Church!

We are so excited for the upcoming 2024-25 year.

This form is for those registering for Confirmation Year 1.

Parishioner Registration
We require families who participate in our Faith Formation and Confirmation programs to be registered parishioners. If you are not a registered parishioner, please click HERE to register with the parish.

Confirmation Preparation will consist of:
- Confirmation Year 1 weekly meetings (Wednesday evenings)
- Weekly Mass Attendance and other Parish Activities/ Celebrations
- Service Hour Completion (15 hours)

Required Parent Only Orientation Meeting: September 4th @ 6pm

Confirmation girls participate in the Blaze/Masterpiece program and boys participate in the Fraternus program. Both meet separately on Wednesday nights.

Program Fee Information

Confirmation Preparation Year 1: $150 per student

If you are unable to pay in full, please know that assistance is available. Please contact the Family Life Coordinator, Dominic Salamida, before completing this form for assistance at flc@nocateecatholic.com or 904-330-0153.

If your child is 8 years and older and has not been baptized, please speak directly to the Family Life Coordinator, Dominic Salamida, before registering.

Student Information

Student First and Last Name

Gender

Male Female

Birthdate

Grade Student Will Enter in 2024-25

School Attending for 2024-25

Has this child been baptized?

Yes No

Has your child received the Sacrament of First Holy Communion?

Yes No

Did The Student Complete Faith Formation at SJPII for the 2023-24 school year?

Yes No

If Not, Please List The Date And Location of previous Faith Formation

Does you child have special needs?

Yes No

If you answered yes to the previous question, please fill out a special needs survery HERE.

Please Note Any Special Learning Needs Here:

Allergies:

Other medical conditions or disabilities

Parent/Guardian Information

Mother's/Guardian First and Last Name

Father's/Guardian First and Last Name

Address

Primary Cell Phone

Primary Email address. Please provide a valid email that is checked regularly.

This address will receive a confirmation email

Please list here any additional email that you would like to receive communication.

Emergency Contact Name and Relationship

Emergency Contact Phone

Are you a registered parishioner?

Yes No

Student Demographic Information

Which of these best describes your child?

Artist Gamer Athlete Academic

Please check all the activities your child enjoys.

Playing a musical instrument Singing Playing a sport Reading Playing video games Excercising

How would you describe your child's relationship with Jesus?

How would you describe your weekend Mass attendance at this time?

Confirmation students are placed in small groups. Do you have a friend request for your child? One friend request per student is taken into consideration.

Family Medical & Health Care Information

Physician's Name

Physician Phone Number

Family Health Plan Carrier

Family Health Plan Number

Waivers

Please read the handbook for Confirmation HERE:

I have read the Confirmation Handbook for Faith Formation.

MEDICAL RELEASE:
MEDICAL MATTERS: I hereby warrant that to the best of my knowlage, my child is in good health, and I assume all responsibility for the health of my child.

EMEGENCY MEDICAL TREATMENT: In the event of an emergency, I hereby give permission to St. John Paul II Catholic Church and the Diocese of St. Augustine's employees, volunteers, or representative to seek medical treatment for my child above the physicain selected by St. John Paul II Catholic Church and The Diocesan representatives or volunteers to hospitalize, secure proper treatment for, and to order injection and/or anesthesia and/or surgery for my child above named.

I give my consent for the medical release and emergency medical treatment.

Parent Signature

Today's Date

PHOTOGRAPHY RELEASE
CHILD PHOTOGRAPHY RELEASE FORM:
Without compensation, I hereby grant permission to St. John Paul II Catholic Church and the Catholic Diocese of St. Augustine to use and reproduce photographs and/or video taken of my child. These photographs may be used for news and editorial puposes in publications and other electronic reproductions (websites and video, including livestream) and/or brochures. In addition, I grant my permission to alter the same photos without restriction and to copyright the same. I hereby release the photographer, the journalists and the puplications or media outlets they represent, as well as the parish/church and/or school involved, the Bishop or the Diocese of St. Augustine, a corporation sole, the Catholic Diocese of St. Augustine and all their employees and agents, from all claims and liability to said photographs.

I give my consent for the child photography release.

Parent signature

Today's Date

Payment (Late Fee of $15 added) $165

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Faith Formation Registration: Confirmation Year 1 2024-25

Description

Please Fix the Following