Year 2 Registration

Program Registration

Confirmation Registration 2021-2022 - Please Check REQUIRED YEAR 2 Confirmation Registration Completed Year 1 at Holy Spirit Completed Year 1 at Another Parish Please fill out this field.
If completed Year 1 at another Parish - Name & Location of Parish
- Teen must be in 10th Grade or above to enter into their Transformation Year (YEAR 2) of Confirmation AND have completed Year 1 at Holy Spirit or at another Parish
Other Sacramental Requests First Communion Full Initiation (Baptism, Confirmation, 1st Communion)

TEEN 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.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Gender REQUIRED Please fill out this field.
Teen Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Teen Email REQUIRED Please fill out this field. Please enter an email address.
T-Shirt Size REQUIRED Please fill out this field.
May we contact the teen via Flocknote (secure email/text) provider
May we post pictures of the teen on Holy Spirit Social Media Sites?
School REQUIRED Please fill out this field. Please enter valid data.
Grade in 2021-2022 REQUIRED 9th 10th 11th 12th Please fill out this field.

PARENT/Guardian Information

Who will be the primary contact Mother Father Communicate to Both Emails/Phones Other

Parent/Guardian 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.
Role REQUIRED Please fill out this field.
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.
Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Second Parent/Guardian's Information

Baptism Information

If Baptismal Information was submitted in a prior year, you do not have to submit it again this year
Church of Baptism Please enter valid data.
Date of Baptism Please enter a date.
City/State of Baptism Please enter valid data.
Check Any If Applicapable Baptized in Another Christian Faith Never has been Baptized Needs to Receive First Communion
Denomination of the Church of Baptism (if different) Please enter valid data.

Special Need

Program Costs

Program Fee: $75 - Due upon Registration

Optional Book Package: $50 (includes 7 Books/Companions for both teens and families - include in payment if desired)

Year 2 Retreat: $250 (November 12th - 14th, 2021.) Due upon Retreat Registration (separate registration)

Payments can be submitted online (link on the Confirmation Page) or by Cash/Card/Check brought to the Youth Ministry Office (marked as "Confirmation 2021-2022")

Please include the $75 Program Fee upon Registration. Financial assistance/scholarships available, please email LouieL@holyspiritlv.org for more information.
Which form of payment will you be using? Online Check/Cash - Will mail or stop by Scholarship needed - please contact Yes, I would like the Optional Book Package ($50 Extra)

Holy Spirit Catholic Church