Confirmation

The sacrament of Confirmation is the final of the three sacraments of Initiation. Confirmation perfects the graces received at Baptism, empowering us to be followers of the Lord and co-workers for the kingdom. Confirmation is much more than a rite of passage, but rather a strengthening of the gifts of the Holy Spirit to unite us more firmly to Christ and to strengthen our bond with the Church. Sacramental preparation is a two year program during 9th and 10th grades, with the rite of Confirmation in the spring of the 2nd year. Please contact Olivia Dvorjak for more information. Registration required.

Be who you were created to be, and you will set the world on fire.
Saint Catherine of Siena

High School Youth Ministry and/or Confirmation 2023-2024

Student Information
Name:*
First Last
Email:
Enter Email Confirm Email
Cell phone:*
Birthdate:*
Grade level:*
- Freshman (Grade 9- Confirmation Year 1)
- Sophomore (Grade 10-Confirmation Year 2)
- Junior (Grade 11)
- Senior (Grade 12)
T-Shirt Size:*
- X-Small
- Small
- Medium
- Large
- X-Large
- 2XL
- 3XL
Home address:*
Street Address Address Line 2 City State ZIP Code
We will continue to meet in small group/discipleship groups. Please name 1-2 teens that you would like to have in your group. If you have any special requests/information that would be good for me to know, please add that here.
Please give your SUNDAY and WEDNESDAY (if applicable) availability here for discipleship groups. (No earlier than 12N on Sundays and No earlier than 4P on Wednesdays)
Family Information
Parent/Guardian 1:*
First Last
Relationship to Child:*
Cell Phone:*
Preferred email:*
Parent/Guardian 2:
First Last
Relationship to Child:
Cell Phone:
Preferred Email:
Enter Email Confirm Email
Is your family registered at Saint James Parish?*
- Yes
- No
If not, where do you normally attend church?
Emergency Contact
Emergency Contact (not parent):*
Phone:*
Medical Information & Medical Release
Medical Information — Insurance Co.
Policy #:
Primary Care Physician:
Allergies (medication or food)
Medical Release:
I agree to the Medical Release and indicate my consent by my electronic signature below.
As the parent or legal guardian of the above named child, I hereby authorize St. James to permit any necessary examination, anesthetic, medical diagnosis, surgery or treatment, and/or hospital care to be rendered to said child under the general or special supervision and on the advice of any physician licensed to practice medicine in the state of Kentucky.
Signature
Date
Month
Day
Year
Publication Permission Form
Publication Permission Form for Photographing, Printing, and Publishing:
I agree to the publication permission policy and indicate my consent by my electronic signature below.
I, the undersigned, give permission to the director of religious education and/or the youth minister of St. James Church to take and publish photographs of my child for use/publication in parish bulletins, parish bulletin boards, parish/diocesan newsletters, parish/diocesan internet websites, and the diocesan newspaper.
Signature:
Date
Month
Day
Year
Year- Round Permission Form
Year-Round Permission Form*
I agree to the permission policy and indicate my consent by my electronic signature below.
I (We), parent(s)/guardian(s) request that my child be allowed to participate in the activities and events scheduled for the 2023-2024 youth ministry calendar, including summer 2024. I (WE) further give my (our) permission for our child to ride in any vehicle designated by the adult in whose care my (our) child has been entrusted while participating in the above activities. In consideration of permitting my (our) child to attend and/or participate, I (we) do hereby, for myself (ourselves) and my (our) child (children) waive and release any and all claims that I might have against Olivia Dvorjak, Saint James Church and any designated driver of a van, bus, car or vehicle, for any and all injuries or losses suffered by said child (children) while engaged in the above activities. In case of any medical emergency, I understand that every effort will be made to contact the parents or guardians of the child participating in the Youth Ministry Programming of the parish. In the event that I cannot be reached, I hereby give permission to the physician selected by the Youth Ministry Coordinator to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child, as named herein.
Signature:
Date
Month
Day
Year
Fees & Payment
Student fees help to offset costs of materials and resources used during the program. Please add a “1” to the appropriate field below.
Year I Confirmation Fee — Grade 9 Quantity
Price: $150.00
Retreats, books, resources, shirt, and snacks/food for Confirmation year 1 and for the retreats for year 1 and 2. // If these fees present a financial burden to your family, please select “Other” and contact Olivia Dvorjak.
Year 2/Youth Ministry Fee–Grades 10, 11, 12 Quantity
Price: $75.00
Books, food/snacks, resources, shirt // If these fees present a financial burden to your family, please select “Other” and contact Olivia Dvorjak.
Total
$0.00
Method of payment:*
- Credit card
- Check (I will bring to the Parish Office)
Credit Card
Card Details
Cardholder Name

High School Youth Ministry and/or Confirmation 2023-2024

Student Information

Family Information

Emergency Contact

Medical Information & Medical Release

Publication Permission Form

Year- Round Permission Form

Fees & Payment

Saint James Catholic Church

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Office Hours

Saint James Catholic School

High School Youth Ministry and/or Confirmation 2023-2024

Student Information

Family Information

Emergency Contact

Medical Information & Medical Release

Publication Permission Form

Year- Round Permission Form

Fees & Payment

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Saint James Catholic Church

Contact Us

Office Hours

Saint James Catholic School