Confirmation Registration 2022-23

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Confirmation Registration
- If you have students in our
  K-6 Relgious Education program
  Click Here to Register.
  
  For Confirmation 7-8 students,
  complete the form below.
- Contact
  
  Marta Spiezio
  
  Director of Confirmation & Youth Ministry Gr. 7-12
  
  630-964-0216 x1210
  mspieziosjpdg.org
- Register for 2023-24
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Proceed here to register your 7th and/or 8th grade student(s). Classes meet twice a month on Wednesdays from 6:30 to 8:00 pm.
  
  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary 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.
  
  Parishioner Status REQUIRED Please fill out this field.
  
  Children Live With REQUIRED Please fill out this field.
  
  PARENT/GUARDIAN
  
  Father's Contact Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters
  Used for limited contact by the director of RE and your child's teacher
  Please enter a phone number.
  
  Check if Address is the same as above Same as above
  
  Father's Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Occupation Please enter valid data.
  
  Religion Please enter valid data.
  
  Mother's Contact Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters
  Used for limited contact by the director of RE and your child's teacher
  Please enter a phone number.
  
  Check if Address is the same as above Same as above
  
  Mother's Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Occupation Please enter valid data.
  
  Religion Please enter valid data.
  
  EMERGENCY CONTACT 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.
  
  Best Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to a child(ren) or family REQUIRED Please fill out this field. Please enter valid data.
  
  MEDICAL RELEASE and EMERGENCY CONTACT
  
  In the event that I, as the undersigned parent/guardian of this child/ren cannot be contacted, and in the judgement of the director of Religious Education, Pastor or teacher deems necessary for my child/ren to receive immediate medical intervention, I hereby request and authorize the supervising personnel to obtain services necessary to assist my child/ren. I agree to assume financial responsibility for any diagnosis/treatment and medication.
  
  I Agree Please select this field.
  
  Number of Children Registering 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.
  
  Middle Name Please enter valid data.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  School Name Please enter valid data.
  
  Grade in Fall REQUIRED Please fill out this field.
  
  Grade Completed in RE REQUIRED Please fill out this field.
  
  New Student?
  
  If Yes, Parish where student previously attended Please enter valid data.
  
  Allergies, Special Needs or Requests
  
  SACRAMENTS RECEIVED
  
  BAPTISM Date Please enter a date.
  
  Parish Name Please enter valid data.
  
  City, State Please enter valid data.
  
  Please submit a copy of the baptismal certificate if your child did not receive the sacrament of Baptism or 1st Holy Communion at St. Joseph Chruch.
  
  1ST RECONCILIATION Date Please enter a date.
  
  Parish Name Please enter valid data.
  
  City, State Please enter valid data.
  
  1ST HOLY COMMUNION Date Please enter a date.
  
  Parish Name Please enter valid data.
  
  City, State Please enter valid data.
  
  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.
  
  Middle Name Please enter valid data.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  School Name Please enter valid data.
  
  Grade in Fall REQUIRED Please fill out this field.
  
  Grade Completed in RE REQUIRED Please fill out this field.
  
  New Student?
  
  If Yes, Parish where student previously attended Please enter valid data.
  
  Allergies, Special Needs or Requests
  
  SACRAMENTS RECEIVED
  
  BAPTISM Date Please enter a date.
  
  Parish Name Please enter valid data.
  
  City, State Please enter valid data.
  
  Please submit a copy of the baptismal certificate if your child did not receive the sacrament of Baptism or 1st Holy Communion at St. Joseph Chruch.
  
  1ST RECONCILIATION Date Please enter a date.
  
  Parish Name Please enter valid data.
  
  City, State Please enter valid data.
  
  1ST HOLY COMMUNION Date Please enter a date.
  
  Parish Name Please enter valid data.
  
  City, State Please enter valid data.
  
  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.
  
  Middle Name Please enter valid data.
  
  Email Please enter an email address.
  
  Cell Phone Maximum 20 characters Please enter a phone number.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  School Name Please enter valid data.
  
  Grade in Fall REQUIRED Please fill out this field.
  
  Grade Completed in RE REQUIRED Please fill out this field.
  
  New Student?
  
  If Yes, Parish where student previously attended Please enter valid data.
  
  Allergies, Special Needs or Requests
  
  SACRAMENTS RECEIVED
  
  BAPTISM Date Please enter a date.
  
  Parish Name Please enter valid data.
  
  City, State Please enter valid data.
  
  Please submit a copy of the baptismal certificate if your child did not receive the sacrament of Baptism or 1st Holy Communion at St. Joseph Chruch.
  
  1ST RECONCILIATION Date Please enter a date.
  
  Parish Name Please enter valid data.
  
  City, State Please enter valid data.
  
  1ST HOLY COMMUNION Date Please enter a date.
  
  Parish Name Please enter valid data.
  
  City, State Please enter valid data.
  
  Photo/Video/Classroom Work Permission: Name of students will not be released REQUIRED YES, my child/ren's photos, video,and classroom work MAY be displayed in any format - website, parish bulletins, newsletters, posters, etc. NO, my child/ren's photos, video and classroom work MAY NOT be displayed in any format - website, parish bulletin, newsletters, posters, etc. Please fill out this field.
  
  As the parent/legal guardian of the child(ren) named above I agree to the Photo/Video/Classroom Work Permission response chosen.
  I Agree Please select this field.
  
  I request that my child(ren) REQUIRED Please fill out this field. Please enter valid data.
  
  be allowed to participate in St. Joseph Confirmation events, including but not limited to, service projects, retreats, Rosary, social events and conferences, from July 2023 to June 2024.
  
  Click Here to read the specifications of the Diocese of Joliet and St. Joseph Parish Permission Form before Agreeing below.
  
  I hereby release and indemnify St. Joseph Parish, its staff, volunteeers, and the Diocese of Joliet from any and all liability arising from claims of any kind or nature whatsoever from my child's participation in this event.
  I Agree Please select this field.
  
  NOTE: Tuition is for all children attending religious education, from kindergarten to 8th grade. Though individual registration forms are required for K-6th and 7th/8th, only one payment is required.
  
  TUITION:
  1 Student - $295
  2 Students - $395
  3+ Students - $445
  FEES:
  One-time Grade 7 Book Fee (book used in Gr. 7 & 8) - $20
  One-time Grade 8 Confirmation Fee - $60
  
  To complete your payment go to www.stjosephdg.org/repayment
  
  If other payment arrangements are needed please contact
  Marta Spiezio (7-8) 630-964-0216 x1210
  
  Submit
  
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If you have students in our K-6 Relgious Education program Click Here to Register. For Confirmation 7-8 students, complete the form below.

If you have students in our
K-6 Relgious Education program
Click Here to Register.

For Confirmation 7-8 students,
complete the form below.