Confirmation Prep Registration

Parent Information

Parent Name

Phone

This address will receive a confirmation email

Address

Marital Status

Religion

Parent 2 Name

Parent 2 Phone

Parent 2 Email

Parent 2 Address (if different)

Parent 2 Religion

Student Information

Student Name

Middle Name

Preferred Name

Phone

Sex

Male Female

Birthdate

T-Shirt Size

Allergies/Special Needs

Sacramental Record

Baptism

First Penance

First Eucharist

Retreat Selection

Please select which retreat your child will attend:

Steubenville (July 10-12, 2026) High School Retreat (Nov. 6-8, 2026) Dio Youth Conference (Nov 21, 2026)

Formation Programs

Must choose at least one. Please select which formation programs your child will be participating in during Confirmation Prep (Catholic school students are exempt from parish Faith Formation classes, though they may choose to attend or join a discipleship group.)

Check all that apply:

Catholic school Faith Formation (Tuesday mornings, weekly) Discipleship (Thursday evenings, bi-weekly)

Emergency Contact

Name

Phone

Relationship

Payment

Registration Fee

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Confirmation Prep Registration

Description

Please Fix the Following