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Confirmation Registration

- Note: If your child is enrolled in Confirmation prep, your child must also be registered for and participate in Faith Formation/Youth Ministry UNLESS they are a Catholic school student (however, those students are still welcome to participate in our programming!). To register for Faith Formation/Youth Ministry, please click here.
  
  THE REGISTRATION PERIOD FOR CONFIRMATION PREP AND FAITH FORMATION/YOUTH MINISTRY ENDS ON OCTOBER 1.
- registration form for Confirmation
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Parent/Guardian 1's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian 1's Last 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.
  
  Street 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.
  
  Parent/Guardian 2's First Name Please enter valid data.
  
  Parent/Guardian 2's Last Name Please enter valid data.
  
  Parent/Guardian 2's Phone Number Please enter valid data.
  
  Parent/Guardian 2's Email Please enter valid data.
  
  Parent/Guardian 2's Address (if different than above)
  
  Emergency Contact Name (other than listed above) REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Number of Children to be registered for Confirmation REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Name of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Location of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Date (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Registering for: REQUIRED Please fill out this field.
  
  2023-2024 Faith Formation Requirement - During LAST school year, the candidate: REQUIRED Was enrolled in Catholic School (list name of school below) Was registered for and participated in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (LAST YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  2024-2025 Faith Formation Requirement - During THIS school year, the candidate: REQUIRED Is enrolled in Catholic School (list name of school below) Is registered for and will participate in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (THIS YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  For all Year 2 candidates that were not enrolled in Catholic school for 2023-2024: Please list below the name of the parish where Confirmation Prep, Year 1 (separate from Faith Formation/Youth Group) was completed. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2024-2025 School Year REQUIRED Please fill out this field. Please enter valid data.
  
  Candidate's Email (Full program participants only - list the email that you prefer to use to enroll in Google Classroom for lessons. Please note that school email addresses typically do not work as the districts often block our Google Classroom invites.) Please enter valid data.
  
  List any allergies your child may have
  
  Are there any special needs or arrangements that we should be aware of?
  
  If your child is of driving age and has a valid driver's license, do you give permission for your child to transport him/herself to and from events and meetings? REQUIRED Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Name of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Location of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Date (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Registering for: REQUIRED Please fill out this field.
  
  2023-2024 Faith Formation Requirement - During LAST school year, the candidate: REQUIRED Was enrolled in Catholic School (list name of school below) Was registered for and participated in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (LAST YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  2024-2025 Faith Formation Requirement - During THIS school year, the candidate: REQUIRED Is enrolled in Catholic School (list name of school below) Is registered for and will participate in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (THIS YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  For all Year 2 candidates that were not enrolled in Catholic school for 2023-2024: Please list below the name of the parish where Confirmation Prep, Year 1 (separate from Faith Formation/Youth Group) was completed. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2024-2025 School Year REQUIRED Please fill out this field. Please enter valid data.
  
  Candidate's Email (Full program participants only - list the email that you prefer to use to enroll in Google Classroom for lessons. Please note that school email addresses typically do not work as the districts often block our Google Classroom invites.) Please enter valid data.
  
  List any allergies your child may have
  
  Are there any special needs or arrangements that we should be aware of?
  
  If your child is of driving age and has a valid driver's license, do you give permission for your child to transport him/herself to and from events and meetings? REQUIRED Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Name of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Location of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Date (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Registering for: REQUIRED Please fill out this field.
  
  2023-2024 Faith Formation Requirement - During LAST school year, the candidate: REQUIRED Was enrolled in Catholic School (list name of school below) Was registered for and participated in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (LAST YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  2024-2025 Faith Formation Requirement - During THIS school year, the candidate: REQUIRED Is enrolled in Catholic School (list name of school below) Is registered for and will participate in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (THIS YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  For all Year 2 candidates that were not enrolled in Catholic school for 2023-2024: Please list below the name of the parish where Confirmation Prep, Year 1 (separate from Faith Formation/Youth Group) was completed. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2024-2025 School Year REQUIRED Please fill out this field. Please enter valid data.
  
  Candidate's Email (Full program participants only - list the email that you prefer to use to enroll in Google Classroom for lessons. Please note that school email addresses typically do not work as the districts often block our Google Classroom invites.) Please enter valid data.
  
  List any allergies your child may have
  
  Are there any special needs or arrangements that we should be aware of?
  
  If your child is of driving age and has a valid driver's license, do you give permission for your child to transport him/herself to and from events and meetings? REQUIRED Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Name of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Location of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Date (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Registering for: REQUIRED Please fill out this field.
  
  2023-2024 Faith Formation Requirement - During LAST school year, the candidate: REQUIRED Was enrolled in Catholic School (list name of school below) Was registered for and participated in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (LAST YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  2024-2025 Faith Formation Requirement - During THIS school year, the candidate: REQUIRED Is enrolled in Catholic School (list name of school below) Is registered for and will participate in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (THIS YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  For all Year 2 candidates that were not enrolled in Catholic school for 2023-2024: Please list below the name of the parish where Confirmation Prep, Year 1 (separate from Faith Formation/Youth Group) was completed. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2024-2025 School Year REQUIRED Please fill out this field. Please enter valid data.
  
  Candidate's Email (Full program participants only - list the email that you prefer to use to enroll in Google Classroom for lessons. Please note that school email addresses typically do not work as the districts often block our Google Classroom invites.) Please enter valid data.
  
  List any allergies your child may have
  
  Are there any special needs or arrangements that we should be aware of?
  
  If your child is of driving age and has a valid driver's license, do you give permission for your child to transport him/herself to and from events and meetings? REQUIRED Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Name of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Location of Church/Parish where celebrated (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Date (information needed for sacramental books) REQUIRED Please fill out this field. Please enter valid data.
  
  Registering for: REQUIRED Please fill out this field.
  
  2023-2024 Faith Formation Requirement - During LAST school year, the candidate: REQUIRED Was enrolled in Catholic School (list name of school below) Was registered for and participated in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (LAST YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  2024-2025 Faith Formation Requirement - During THIS school year, the candidate: REQUIRED Is enrolled in Catholic School (list name of school below) Is registered for and will participate in Faith Formation/Youth Group (list name of parish below) Please fill out this field.
  
  Name of Catholic school or parish for Faith Formation program/Youth Group (THIS YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  For all Year 2 candidates that were not enrolled in Catholic school for 2023-2024: Please list below the name of the parish where Confirmation Prep, Year 1 (separate from Faith Formation/Youth Group) was completed. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2024-2025 School Year REQUIRED Please fill out this field. Please enter valid data.
  
  Candidate's Email (Full program participants only - list the email that you prefer to use to enroll in Google Classroom for lessons. Please note that school email addresses typically do not work as the districts often block our Google Classroom invites.) Please enter valid data.
  
  List any allergies your child may have
  
  Are there any special needs or arrangements that we should be aware of?
  
  If your child is of driving age and has a valid driver's license, do you give permission for your child to transport him/herself to and from events and meetings? REQUIRED Please fill out this field.
  
  Unless the candidate is enrolled in Catholic school, they MUST be registered and participate in our Faith Formation/Youth Ministry programming.
  
  Materials fees for Confirmation Prep: $55 for one child, $80 for more than one child in same household/family
  
  Online payment options are available by visiting https://www.osvhub.com/stbenedict/giving/funds. Checks are also accepted and can be dropped in a marked envelope in a collection basket at Mass or can be mailed to the Parish Administration Center at 95 N Main Street, Canandaigua NY 14424. All checks should be made payable to St. Benedict Parish. Please write the child(ren)'s name(s) and Confirmation Prep in the memo line on the check.
  
  Note: Materials fees for Faith Formation/Youth Ministry will be collected separately.
  
  The health information below has already been collected on our Faith Formation/Youth Ministry registration form. Therefore, the following section must only be completed by those candidates that are in Catholic school and not participating in our FF/YM program.
  
  Health Insurance Company Please enter valid data.
  
  Policy Number Please enter valid data.
  
  Family Physician/Clinic Please enter valid data.
  
  Physician's Phone Number Please enter valid data.
  
  Note: If the health insurance and/or physician information listed above does not apply to all of the children listed on this form, please contact the Parish Administration Center so that we can update the emergency information for your children. Thank you.
  
  Do you give permission for pictures to be taken of your child/children for informational and/or advertising purposes for church programs only? REQUIRED Please fill out this field.
  
  By including your name and date below, you certify that...
  
  the information submitted on this online form is correct, current, and complete
  
  you give permission for your child/children to be transported for medical or ther emergency purposes
  
  you give permission for release of medical records to an attending physician in case of illness or injury
  
  you understand that every effort will be made to contact the parents, guardians, and/or emergency contact person in the case of a medical emergency
  
  you give permission to the physician to secure proper treatment for your child/children named on this online form in the event that you cannot be reached
  
  Full Name of Parent/Guardian Completing this Form Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Submit
  
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