Confirmation Registration (Youth)

Confirmation Preparation Year: REQUIRED Year One - for students in grades 7 - 10 who are just starting their preparation. Year Two - for students who have participated in year one at SPX or were enrolled in a Catholic School. Must be in grades 8 - 11. Please fill out this field.

Candidate Information:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name: REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Church of Baptism* (parish name and city) REQUIRED Please fill out this field. Please enter valid data.

*For candidates in year 2, a baptismal certificate must be requested from the parish of Baptism and must be dated within the last six months. If the candidate was Baptized at St. Pius X, this will be done by the coordinator.

Grade in School (2022 - 2023) REQUIRED Please fill out this field.

Email Please enter an email address.

Phone Number Please enter a phone number.

Approval to use my child's photo on the web, bulletin, or other parish publications REQUIRED Yes No Please fill out this field.

Parent Information:

Mother's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Maiden Name REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Religion REQUIRED Catholic Other Please fill out this field.

Father Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Religion REQUIRED Catholic Other Please fill out this field.

Sponsor Information:

If known

Candidates need to choose their sponsor before beginning their second year of the program. Sponsors need to be confirmed and active Catholics in good standing with the Catholic Church and at least 16 years old. Their pastor will be asked to sign a letter on their behalf. [Canon Law prohibits parents from being Sponsors.]
First Name Please enter valid data.

Last Name Please enter valid data.
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Parish that you are a member (name & city, state): Please enter valid data.
Relation to candidate: Please enter valid data.

Communication:

Send email communication to (please check all that apply): REQUIRED Candidate Mother Father Sponsor Please fill out this field.

Medical & Emergency Information:

Please indicate here if the candidate has any medical, learning, or behavioral issues we should be aware of (in case we need to adapt to a particular need) or any food allergies that we should be aware of as meals are served as part of the confirmation program.

List allergies and/or other medical condition(s): REQUIRED Please fill out this field. Please enter valid data.

Please note that we will not be administering medication. If medication is needed during program hours, an authorized adult will need to come and administer the medication.

Emergency Contact

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Relationship to Candidate REQUIRED Please fill out this field. Please enter valid data.

In the event of a medical or dental emergency & I cannot be reached, I authorize emergency treatment to be administered to any child listed on this form.

I Agree Please select this field.

Final Agreement and Signature

By my signature below, I acknowledge and agree this electronic or digital signature is the legally binding equivalent to my handwritten signature. This electronic or digital signature has the same validity and meaning as my handwritten signature. By my signature below as guardian/participant, I acknowledge and agree to the conditions above.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Full Name typed for signature REQUIRED Please fill out this field. Please enter valid data.

By providing my full name, I agree that it will be the electronic representation of my signature for all purposes when I use it on documents, including legally binding contracts - just the same as a pen-and-paper signature.

Today's Date REQUIRED Please fill out this field. Please enter a date.

Fees and Payment

We want to ensure all families have access to opportunities to learn and grow in the Catholic faith regardless of ability to pay. If the fee is a hardship for your family, please select the "would like to discuss payment plan or scholarship" option below and the Faith Formation office will contact you to discuss.

Tuition Information REQUIRED Please fill out this field.

Church of St. Pius X

White Bear Lake, MN

Confirmation Registration (Youth)

Program Guidebook

Click below to see the detailed information Guide for the 2022 - 2023 preparation year

Registration for 2022- 2023

Parish Office Hours: 8:30 am - 4:00 pm M-Th 8:30-Noon Fri	Tel 651-429-5337 Fax 651-429-5339
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