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2023-2024 CL1 Registration

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  Please fill out all fields completely and with accurate information. Upon completion of this form, please complete payment, the Archdiocesan Permission form, and submit copies of your teen's Baptism and First Communion to the Faith Formation Office. PLEASE use your teen's contact information and use different information for yourself. Duplicated emails and phone numbers for multiple people within one family will cause delays to your registration.
  
  Teen'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.
  
  Middle Name Please enter valid data.
  
  Teen's Email for Notifications/Updates REQUIRED Please fill out this field. Please enter an email address.
  
  Teen's Cell Phone Number for Notifications/Updates REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Teen's Gender REQUIRED Please fill out this field.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Mailing 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.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  City of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in 2023-2024 REQUIRED Please fill out this field.
  
  Has your Teen been Baptized? REQUIRED Please fill out this field.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Name & Address of Church of Baptism REQUIRED Please fill out this field.
  
  Has your Teen received First Reconciliation? REQUIRED Please fill out this field.
  
  Has your Teen received First Communion? REQUIRED Please fill out this field.
  
  Name & Address of Church of First Communion REQUIRED Please fill out this field.
  
  Father'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.
  
  Father's Martial Status REQUIRED Please fill out this field.
  
  Father's Religion REQUIRED Please fill out this field.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Mother's Maiden Name (Last Name at Birth) REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Martial Status REQUIRED Please fill out this field.
  
  Mother's Religion REQUIRED Please fill out this field.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Emergency Information
  
  Emergency Contact Name (Cannot be the Teen's Parent) REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Relationship to Teen REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Teen's Health Insurance Company, Policy #, and ID # REQUIRED Please fill out this field.
  
  Name of Family Pediatrician 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.
  
  Please provide any special Medical History, Allergies, Dietary Restrictions, or Information applicable to your Teen REQUIRED Please fill out this field.
  
  Acknowledgements
  
  I authorize members of the Confirmation Process to communicate with both Parents and Teens via email and phone for ministerial purposes. REQUIRED Acknowledgement Please fill out this field.
  
  I am aware that the Catholic Church's teaching on the Creed, Sacraments, Prayer, and Morality will be covered in the curriculum of the process. REQUIRED Acknowledgement Please fill out this field.
  
  I am aware that my Teen will be presented the "Empowering God's Children Program" from the Archdiocese. More information is available upon request. REQUIRED Acknowledgement Please fill out this field.
  
  I am aware that members of the Confirmation process will take photos and videos throughout the process (retreat videos etc.) for internal purposes only. REQUIRED Acknowledgement Please fill out this field.
  
  I am aware that in order to complete all administrative requirements for Confirmation aside from registration I must: REQUIRED Pay the registration fee online with Saint Kateri OSV (see pay here button) Complete required Archdiocesan Permission Form Submit my Teen's Baptism and First Communion Certificates to the Faith Formation Office Please fill out this field.
  
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- Required Forms
  
  Pay Here
  
  Archdiocesan Permission Forms
- Questions? Contact Us
  
  Matt Jennerson
  
  Youth Minister
  
  661-296-3180 X 7908
  mjennersonsaintkateriparish-scv.org
  
  Lori Hanlon
  
  Faith Formation Secretary & Liturgical Event Coordinator
  
  661-296-3180 X 7901
  lhanlonsaintkateriparish-scv.org