Confirmation Registration | Year 1 | St. Michael the Archangel Catholic Church

CONFIRMATION TUITION \| YEAR 1
1 Child	$50.00
2 or more Children	$75.00

The maximum number of form submissions has been reached. This form is currently not available.

Household Information
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Are you a registered parishioner of St. Michael the Archangel? REQUIRED Yes No Please fill out this field.
- *Please click HERE if you need to register as a parishioner of St. Michael the Archangel Catholic Church, Garland.*
- 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.
Father's 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.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
Mother's 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.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
If there is a divorce or legal separation, which parent has legal custody of child(ren)? REQUIRED Father Mother Not Applicable Please fill out 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.
  - Gender REQUIRED Male Female Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Grade Level for Next School Year REQUIRED Please fill out this field.
  - Baptized REQUIRED Yes, in the Catholic Church Yes, outside the Catholic Church No Please fill out this field.
  - Additional Sacraments Needed REQUIRED None Baptism First Holy Communion Please fill out this field.
  - Any Health or Special Needs info you would like to share?
- 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.
  - Gender REQUIRED Male Female Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Grade Level for Next School Year REQUIRED Please fill out this field.
  - Baptized REQUIRED Yes, in the Catholic Church Yes, outside the Catholic Church No Please fill out this field.
  - Additional Sacraments Needed REQUIRED None Baptism First Holy Communion Please fill out this field.
  - Any Health or Special Needs info you would like to share?
- 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.
  - Gender REQUIRED Male Female Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Grade Level for Next School Year REQUIRED Please fill out this field.
  - Baptized REQUIRED Yes, in the Catholic Church Yes, outside the Catholic Church No Please fill out this field.
  - Additional Sacraments Needed REQUIRED None Baptism First Holy Communion Please fill out this field.
  - Any Health or Special Needs info you would like to share?
- 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.
  - Gender REQUIRED Male Female Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Grade Level for Next School Year REQUIRED Please fill out this field.
  - Baptized REQUIRED Yes, in the Catholic Church Yes, outside the Catholic Church No Please fill out this field.
  - Additional Sacraments Needed REQUIRED None Baptism First Holy Communion Please fill out this field.
  - Any Health or Special Needs info you would like to share?
- 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.
  - Gender REQUIRED Male Female Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Grade Level for Next School Year REQUIRED Please fill out this field.
  - Baptized REQUIRED Yes, in the Catholic Church Yes, outside the Catholic Church No Please fill out this field.
  - Additional Sacraments Needed REQUIRED None Baptism First Holy Communion Please fill out this field.
  - Any Health or Special Needs info you would like to share?
Consents & Waivers
- I declare that I have the LEGAL AUTHORITY to arrange for the SACRAMENTAL and SPIRITUAL needs of the child(ren) listed on this form.
  I Agree Please select this field.
- Full Name of Parent/Guardian Completing this Form REQUIRED Please fill out this field. Please enter valid data.
- CONSENT TO PARTICIPATE & LIABILITY RELEASE
  I grant permission for my son/daughter to participate in all youth activities and functions.
  I understand that as parent/guardian/conservator, I remain legally responsible for any personal actions taken by my son/daughter. I recognize the inherent risk associated with the various youth activities that my son/daughter will be participating in.
  
  I agree on behalf of myself, my son/daughter named herein, my heirs, successors, and assigns to indemnify, defend, and hold harmless St. Michael the Archangel Catholic Church, Garland and the Roman Catholic Diocese of Dallas, their employees and/or volunteers from any and all claims (unless due to the Sole or Gross NEGLIGENCE of the Parish) for illness, injury, death, and the cost of medical treatment therewith, arising from or in any way connected with my son/daughter participating and/or attending the various youth programs and activities during this formation year noted above.
  
  In the event any legal action is taken by either party against the other party to enforce any of the terms and conditions of this release, it is agreed that the unsuccessful party to such action shall pay to the prevailing party therein all reasonable court costs, reasonable attorneys’ fees and expenses incurred by the prevailing party.
  I HAVE READ AND UNDERSTAND THE CONSENT TO PARTICIPATE & LIABILITY RELEASE.
  I Agree Please select this field.
- AUTHORIZATION OF CONSENT TO TREAT MINOR
  I hereby authorize St. Michael the Archangel Catholic Church, Garland its youth ministry leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. It is understood that this authorization is given in advance of any specific treatment or diagnosis, but is given to provide authority and power of treatment, or hospital care which the aforementioned physician in the exercise of best judgment may deem advisable. This authorization is given pursuant to the provisions of Chapter 32 of the Texas Family Code. This authorization shall remain effective for up to one year from the date of completion of this form, unless sooner revoked in writing delivered to said agent(s). In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I/we hereby release, defend and hold harmless the Parish and Roman Catholic Diocese of Dallas (Diocese), their officers, directors, agents, employees, volunteers, youth ministry leaders, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
  
  I HAVE READ AND UNDERSTAND THE AUTHORIZATION OF CONSENT TO TREAT MINOR.
  I Agree Please select this field.
- AUDIO/VISUAL RECORDING & PHOTOGRAPHY CONSENT
  On occasion, video recordings, audio recordings, photographic slides, and photographs are taken of children and youth during church and diocesan sponsored activities. These are utilized in newsletters, websites, event promotion, advertisements and other printed media, and at times, classes / gatherings will occur online through social media / streaming / video platform and may be recorded. As the State of Texas does not prevent audio or video recording or the photographing of children/youth (with the exception of Senate Bill 1, Section 26.009, which deals specifically with school districts), it does encourage parental consent. Additionally, current video recordings and photographs assist law enforcement agencies dealing with the Missing Children’s Program. I consent to the use of such materials in which my child may appear. I release the staff and volunteers of St. Michael the Archangel Catholic Church, Garland TX and the Roman Catholic Diocese of Dallas from any liability connected with the use of my child’s picture or audio/video recording as part of any of the above or similar activities.
  I HAVE READ AND UNDERSTAND THE AUDIO/VISUAL RECORDING & PHOTOGRAPHY CONSENT.
  I Agree Please select this field.
- MEDICATION ADMINISTRATION
  I understand that no oral medication will be administered to my son(s)/daughter(s) unless the situation is life-threatening and emergency treatment is required.
  
  In addition, I understand that if my child(ren) require(s) an Emergency Injection Device (Epi-Pen), a Diabetic Injection, a Rescue Inhaler, or any other special needs, a parent or guardian must remain on the St. Michael property and be readily available to administer medications.
  I HAVE READ AND UNDERSTAND THE MEDICATION ADMINISTRATION.
  I Agree Please select this field.
- SPECIAL DIETARY RESTRICTIONS STATEMENT
  
  I understand that snacks may be offered to children during class times, especially around holidays. I also understand that if my child(ren) has a dietary restriction, I, the parent, will be responsible for providing snacks throughout the year. All snacks must be clearly labeled with child(ren)'s name on it. I understand that it is my responsibility to inform the teachers of said restrictions.
  I HAVE READ AND UNDERSTAND THE SPECIAL DIETARY RESTRICTIONS STATEMENT.
  I Agree Please select this field.
- Signature of Parent or Guardian REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.

Submit

St. Michael -Garland 972-279-6581

Home

Confirmation Registration | Year 1

registration info

REGISTRATION INSTRUCTIONS

Step 1:

Step 2:

CONFIRMATION TUITION | YEAR 1

1 Child

$50.00

2 or more Children

$75.00

Step 3:

Year 1 Confirmation Registration Form (Step 1 of 3)

CONSENT TO PARTICIPATE & LIABILITY RELEASE

I HAVE READ AND UNDERSTAND THE CONSENT TO PARTICIPATE & LIABILITY RELEASE.

AUTHORIZATION OF CONSENT TO TREAT MINOR

AUDIO/VISUAL RECORDING & PHOTOGRAPHY CONSENT

I HAVE READ AND UNDERSTAND THE AUDIO/VISUAL RECORDING & PHOTOGRAPHY CONSENT.

MEDICATION ADMINISTRATION

I HAVE READ AND UNDERSTAND THE MEDICATION ADMINISTRATION.

I HAVE READ AND UNDERSTAND THE SPECIAL DIETARY RESTRICTIONS STATEMENT.

Contact Us