Confirmation Registration | Saint James Parish

Family Information

Family Last Name*

Family Last Name

How many children in grades 6th-8th are you registering?*

Home Address*

Street Address Address Line 2 City State ZIP Code

Home Phone Number

Primary Cell Phone Number

Additional Cell Phone Number

Can we send you text messages?*

Primary Email*

This email will be our primary means of communication

Primary Email Verification*

Please verify your primary email

Father's Full Name

Mother's Full Name

Emergency Contact (other than Parent/Guardian)*

Emergency Contact Primary Phone Number*

Student 1 Information

Student #1 Name*

First Last

Student #1 First Time Registrant?*

Is this the first time you are enrolling this student in the St. James Religious Education Program?

Please upload an electronic image of this child's Baptismal Certificate*

You have indicated that this child is a first time registrant. In order to proceed, we need a copy of this child's baptismal certificate.

Student #1 Gender

Student #1 Grade*

Grade for the 2020/2021 school year

Student #1 School

Student #1 Birth Date*

Student #1 Allergies/Pertinent Medical Information

Has Student #1 Received First Holy Communion?*

Student 2 Information

Student #2 Name*

First Last

Student #2 First Time Registrant?*

Is this the first time you are enrolling this student in the St. James Religious Education Program?

Please upload an electronic image of this child's Baptismal Certificate*

You have indicated that this child is a first time registrant. In order to proceed, we need a copy of this child's baptismal certificate.

Student #2 Gender*

Student #2 Grade*

Grade for 2020-2021 school year

Student #2 School

Student #2 Birth Date

Student #2 Allergies/Pertinent Medical Information

Has Student #2 Received First Holy Communion?

Student 3 Information

Student #3 Name*

First Last

Student #3 First Time Registrant?*

Is this the first time you are enrolling this student in the St. James Religious Education Program?

Please upload an electronic image of this child's Baptismal Certificate*

You have indicated that this child is a first time registrant. In order to proceed, we need a copy of this child's baptismal certificate.

Student #3 Gender*

Student #3 Grade*

Grade for 2020-2021 school

Student #3 School

Student #3 Birth Date

Student #3 Allergies/Pertinent Medical Information

Has student #3 Received First Holy Communion?

Student 4 Information

Student #4 Name*

First Last

Student #4 First Time Registrant?*

Is this the first time you are enrolling this student in the St. James Religious Education Program?

Please upload an electronic image of this child's Baptismal Certificate*

You have indicated that this child is a first time registrant. In order to proceed, we need a copy of this child's baptismal certificate.

Student #4 Gender*

Student #4 Grade*

Grade for 2020-2021 school year

Student #4 School

Student #4 Birth Date

Student #4 Allergies/Pertinent Medical Information

Has student #4 Received First Holy Communion?

Open Doors Ministry

Does your child have any special needs that require adaptive programming or a one-on-one mentor during the lessons?

Open Doors Ministry is here to support all families and ensure every child has access to faith formation in a peer setting. By voluntarily answering this question you are helping us provide an appropriate environment for all students. This information will be kept confidential.

Please list the name(s) of any child(ren) who needs accommodations.

A program coordinator will be in contact with you to learn more about your child to ensure s/he will receive the appropriate supports to be successful and happy in the St. James Religious Education program.

Core Team Information

Our Core Team and ODM volunteers are the heart and soul of our confirmation program here at Saint James. Without the generosity and service of these men and women our program would not be able to happen. We are in need of more volunteers for our Core Team this year. With changes in the program from the past years this role has taken on a new approach from the traditional catechist role. The main role of our core team is to engage, relate, and instruct the youth through small group discussions. Therefore in order to ensure that all our volunteers are comfortable and equipped in doing this we will have a training session and orientation before the semester begins.

This year we able to offer FREE FAMILY TUITION for all Core Team and Open Doors Mentors. Sacrament fee will be applicable to all Core Team/Mentors who have a child making the sacrament of First Reconciliation, First Holy Communion and/or Confirmation.

If you would like more information please reach out to the middle school youth coordinator Matthew Lawson. mlawson@stjamesah.org

Are you interested in applying to be a Core Team Member or an Open Doors Mentor?*

Confirmation Tuition and Emergency Consent Agreement

2019-2020 Tuition Rates

$210 one child
$420 two children
$630 three or more children
(Maximum tuition per family $600)

PLEASE NOTE CORE TEAM MEMBERS RECEIVE FREE FAMILY TUITION
Previous year's tuition balances must be paid in full before 2019-2020 registration will be processed. The balance of ALL tuition for the 2019-20 school year is due by August 31st, 2019. Anyone registering after the June 30th deadline will be charged a non-refundable $50 late fee. No new registrations will be processed after October 1st, 2019 and no tuition refunds will be given after October 1st, 2019.

Payments can be made now through August 31st 2019. All balances due no later than August 31, 2019

You can pay online with credit/debit card or you can drop off/mail in your tuition via check/cash in the Parish Office. No child will be turned away due to financial hardship. Tuition assistance applications are available. Please contact Barbara Krawczyk in the Business Office.

EMERGENCY CONSENT: If the parents (or guardians) cannot be contacted in case of serious injury or illness, I authorize the Religious Education Program to take such emergency action as may be deemed necessary, including the transportation of the student to a hospital or medical center. As a parent (or guardian), I do herewith authorize the treatment by a qualified and licensed medical doctor of the following minor(s) in the event of a medical emergency that, in the opinion of the attending physician, may endanger his/her life, cause disfigurement or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me.

Total

$0.00

$0.00 ****If you are applying to be a Catechist/Mentor please do not make a tuition payment until you have heard back from the RE office!!****

Payment Code

If you want to make installment payments type in "partial" in the Payment Code field.

Payment Options*

****If you are applying to be a Core Team Member please do not make a tuition payment until you have heard back from the RE office!!**** Balances due in full by Aug 31st 2019

Payment Options*

****If you are applying to be a Core Team Member please do not make a tuition payment until you have heard back from the RE office!!**** Balances due in full by Aug 31st 2018

Partial Payment Amount

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

YOUR DIGITAL SIGNATURE BELOW SIGNIFIES YOUR ACCEPTANCE OF THIS TUITION AND EMERGENCY CONSENT AGREEMENT*

Permission to use child(ren)'s image in Parish Media.*

This gives us permission to use your child's photo in the following media outlets....bulletin, website, parish run social media, and photo slideshows

Email

This field is for validation purposes and should be left unchanged.