OFFICE ONLY
_______completed form
St. Sebastian Catholic Church Faith Formation
Preparation for Confirmation
_______ date received
__________________________________________________________________
_______ Baptismal Cert. attached
_______ fee included
Child’s Name: Print name as you want it to appear on the Sacrament Certificate
_________________________________________________________________Child’s Age: ______________
(FIRST) (MIDDLE) (LAST)
Address: __________________________________________________________________________________
(# Street) (City) (State) (Zip)
Sacraments Celebrated
Date
Name of Church, City and State
____ Baptism* ____/____/____ ________________________________________
____ Reconciliation ____/____/____ ________________________________________
____ Eucharist ____/____/____ ________________________________________
Date of Birth: ____/____/____ City and State of Birth: ____________________________________________
Current Grade Level: ____ Name of school currently attending: ______________________________________
Registering for : Year I prep _______ or Year II prep __________ (To register for year II, youth must have
Year I )
Email for youth: ________________________________________
Number of years of Faith Formation (religious education): ____________________________________________
Did youth attend Faith Formation last year here at St. Sebastian: ______ Yes _______ No If “no” please
give name of parish: ________________________________________________
Name, City and State
Parent/Guardian Name: ______________________________________________________
Address: _______________________________________ City: ______________ Zip: _____________
Home Phone: _______________________ Parent cell phone: _________________________________
E-mail address to receive updates. Info, reminders, etc. _______________________________________
Sponsor’s Name: ___________________________________________________________________________
(FIRST) (MIDDLE) (LAST)
Address: _________________________ Phone: ____________________ **Parish __________________
* If the Baptism did not take place at St. Sebastian, a copy of the Baptism Certificate must be submitted with this form.
** A sponsor from a parish other than St. Sebastian must provide a letter from the parish attesting to eligibility to be a sponsor.
The preparation for the sacrament of Confirmation involves:
Regular attendance at Sunday (Saturday) Liturgy
·
Participation in parish Generations of Faith program
·
Participation in two year Confirmation prep
·
Participation in Confirmation Retreat and day of Service-Outreach
·
Completion of required service hours
·
Regular contact between candidate and sponsor
·
Diocesan Permission and Medical Treatment Waiver
I _______________________________, the parent/guardian of ___________________________
do hereby give my permission for him/her to attend Confirmation Prep on the premises of St.
Sebastian Catholic Church located at 13075 US1, Sebastian Florida, to be treated for a medical
emergency in my absence while participating in the Faith Formation program. The Director of
Faith formation or adult supervisor may act as an agent in my absence. In case of accident, I do
not hold the Diocese of Palm Beach, the parish of St. Sebastian, its staff or adult supervisor re-
sponsible.
In case of emergency, if I am not available at the above listed phone numbers, please contact:
Name: ____________________________________ Phone # (______)______________________
****** You must provide an emergency contact person and number other than yourself or your spouse**********
Is there anything we need to know about your child? ______________________________
Any special needs, disability or allergies? _______________________________________
PARENTS: Please indicate if you are interested in becoming a volunteer with Confirmation Prep
team. We need volunteers to help with Retreat, Service Outreach Day, Service Projects, present-
ing or assisting with classes, drivers for events and chaperones. If you are willing to help in any
way, please indicate! I can help with please call! Name: ________________________
Phone: _______________________
I’d be most interested in __________________________________________________.
Parent/Guardian Signature _____________________________________Date_____________
Your completed registration includes this form, a copy of your child’s baptismal certificate (if needed) and the fee. ALL
items must be turned in by AUGUST 31, 2009. If you have a financial concern, please contact the Faith Formation
office at 589-4147. Scholarships are available. We want all children to participate regardless of ability to pay.
