Confirmation Retreat – Visions Confirmation (HSPSR) – Saint Jude the Apostle Catholic Church

Confirmation Retreat – Visions Confirmation (HSPSR)

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Name

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Candidate Name*

First Last

Gender*

Female

Male

Home Address*

Street Address City State ZIP Code

Candidate Email*

Candidate Phone*

Student Grade level*

Name of High School 2026-2027*

List School here

Parent Name*

First Last

Parent Phone*

Parent Email*

Emergency Contact Name*

First Last

Emergency Contact Phone*

Choose one date:*

January 9-10, 2027

Please choose*

Pay now and complete registration

Confirmation Retreat Fee Per Teen*

Price:

Total

My family needs help with program fees

Please state why you need help with program fees*

How much can you pay per child?*

The minimum amount is $62.50 per candidate. All requests for reduced program fees are reviewed by the Pastor and Director of Religious Education at Saint Jude.

How will you pay?*

To pay by cash, you will need to come to the parish office during business hours to fill out the registration form and provide payment. Please schedule a time with Madison Massmann at confirmation@judeatl.com or call 770-394-3896.

FOR OFFICE USE ONLY – Type in code when cash is received*

Total payment Confirmation Retreat*

Total

Credit Card Information

Credit Card*

Card Details

Cardholder Name