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- Faith Formation

Our mission during Confirmation Preparation Experience is to help prepare the high school aged youth to receive the sacrament and to deepen their faith and that of the parish community. Confirmation preparation is a process in Christian growth based on the belief that teenagers are at a significant point in their faith journey where they are beginning to establish a personal faith identity. Through sharing their own journey and interacting with others, the candidates are assisted in identifying and understanding how God is working in their lives, and come to a new realization of faith within the context of the parish community.

See Program Details

What is Confirmation?

Confirmation, together with Baptism and Eucharist, form the Sacraments of Initiation that are all intimately connected. In the Sacrament of Confirmation, the baptized person is “sealed with the gift of the Holy Spirit” and is strengthened for service to the Body of Christ and welcomed fully into the life of the Church

What is Faith Formation going to look like this year?

Teens in their first year of high school can begin their preparation for the Scarament of Confirmation. Young people and their families will be provided a process that will help them to establish an understanding of the Catholic faith and build on their own personal faith as they work to develop their relationship with Christ. Confirmation preparation is a process in Christian growth based on the belief that teenagers are at a significant point in their faith journey where they are beginning to establish a personal faith identity. Our mission during this Preparation Experience is to offer opportunities in faith formation, communal prayer experiences, spiritual support (retreats), peer support, social and communal activities that would lead them to live the call of Jesus in a life of justice and service both to the parish and beyond. Through sharing their own journey and interacting with others, the candidates are assisted in identifying and understanding how God is working in their lives, and come to a new realization of faith within the context of the parish community.

Sessions will take place on Sundays beginning with our 4:00pm Youth Mass.

IMPORTANT: A teen MUST be baptized and have received First Communion (and provide a certificate for both) to be confirmed. If a teen has not yet received First Communion, we can prepare him or her during the Confirmation process.

PLEASE NOTE: Because of public health concerns surrounding the COVID-19 pandemic, and in our effort to stay in compliance with state, local, and archdiocesan guidelines, we will gather in person following all guidelines. In the event that we cannot meet in person, formation will continue with virtual meetings via ZOOM. Some formation will continue in your homes as we will provide you with all needed supplies and support.
Contact
- Ruben Castorena
  
  Director of Religious Education, Confirmation, & Youth Ministry
  
  (818) 731-7389
  confirmyouthincaglendale.org
2021-2022 Registration For Confirmation
The maximum number of form submissions has been reached. This form is currently not available.
- Do you or your child have access to an internet connection? REQUIRED Yes No Please fill out this field.
- Do you or your child have access to a digital device to access our faith formation resources? REQUIRED Yes No Please fill out this field.
- Mother (as listed on Baptismal Certificate)
  
  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.
  
  Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Apt., Ste., Bldg. 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.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mobile Phone REQUIRED Please fill out this field. Please enter a phone number.
  
  Home Phone REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone Please enter a phone number.
- Father (as listed on Baptismal Certificate)
  
  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.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Apt., Ste., Bldg. 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.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mobile Phone REQUIRED Please fill out this field. Please enter a phone number.
  
  Home Phone REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone Please enter a phone number.
- Total Number of Children to be Registered 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  This email should not be the same as the parent's email.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  My child has received the following sacraments REQUIRED Baptism First Communion Confirmation Please fill out this field.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  I have the following documents: REQUIRED Certificate of Baptism Certificate of Birth Certificate of First Communion Please fill out this field.
  
  What was the last year of Religious Education your child has attended? REQUIRED Please fill out this field.
  
  Living Arrangements REQUIRED Please fill out this field.
  
  Are there any custody issues or restraining orders in place related to your child? REQUIRED No Yes Please fill out this field.
  
  Given the nature of the program, does your child or youth have any physical, mental, emotional, cognitive, or other limitations or restrictions that would require the parish to make a minor adjustment to enable your child or youth to participate? REQUIRED No Yes Please fill out this field.
  
  If yes, what type of restriction does your child or youth have or what adjustment(s) will be needed?
  
  Permission and Medical Release
  I request that my child be permitted to participate in the above activity. I am not aware of any physical or medical condition my child has that would prevent my child from participating fully in this activity. If my child needs to take medication while participating in this activity, I hereby give my child permission to self-administer his/her medication in accordance with the Medication Authorization and Permission Form, and, if my child cannot self-administer, I give permission to the responsible staff members or chaperones to administer or to assist in the administration of my child’s medication. I also give permission to the responsible staff members, chaperones, medical practitioners and medical facilities to use their judgement in obtaining and providing medical treatment for my child should it become necessary to do so. I understand that health insurance benefits through the Location, if any, may have limited application, and that I am entirely responsible for the cost of all medical treatment provided to my child. I agree to reimburse the Location for the cost of any medical treatment and related expense incurred.
  
  Release of Liability
  As a condition of participating in this activity, I hereby hold harmless, release and discharge The Roman Catholic Archbishop of Los Angeles, a corporation sole, Archdiocese of Los Angeles Education & Welfare Corporation and the Location, their respective agents and employees and any parent/volunteer/chaperone, from any and all liability, loss or claims for personal injuries, wrongful death or property damage that I or my child may suffer as a result of participation in the activity described above.
  
  My son/daughter has the following medical needs, allergies, or dietary restrictions:
  
  Medical Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children, agree to the above medical treatment statement. Please fill out this field.
  
  Media Release
  I understand and agree that my child’s image, voice, name and/or work (“Personal Information”) relating to the events or activities described in this program/process above will be used for noncommercial purposes, including, but not limited to, publicity, exhibits, electronic media broadcasts or research. I understand and agree that my child’s Personal Information may be copied, edited and distributed by the Location in publications, catalogues, brochures, books, yearbooks, magazines, exhibits, films, videotapes, CDs, DVDs, email messages, websites, or any other form now known or later developed (“Materials”). The Location may use the Personal Information at its sole discretion, with or without my child’s name or with a fictitious name, and with accurate or fictitious biographical material. Incarnation Church will not use the Personal Information for improper purposes or in a manner inconsistent with the teachings of the Roman Catholic Church. I waive any right to inspect or approve any Materials that may be created using the Personal Information now and in the future. In exchange for the opportunity given to my child by the Incarnation Church to participate in the activity, I agree that neither I, nor my child, will receive monetary compensation, royalties or credit. I understand and agree that the Incarnation Church shall be the owner of all right, title and interest, including copyright, in the photographs, electronic recordings and Materials. If Incarnation Church intends to use the Materials for a commercial purpose, I will be provided at that time with information about the terms of the commercial use.
  
  Release of Liability
  I hereby waive, release and forever discharge any and all claims, demands, or causes of action against the Incarnation Church and its affiliated entities, employees, agents, contractors and any other person, organization, or entity assisting them with the photography, electronic recording or Materials, for damages or injuries in any way related to, or arising from the photography, electronic recording or Materials, or the use of the Personal Information, and I expressly assume the risk of any resulting injury or damage. I further understand and agree that this Authorization remains in effect until it is withdrawn in writing. I understand that if I change my mind about this Authorization, that I will submit another, new authorization form to the Incarnation Church. However, my new authorization will not have the effect of revoking this Authorization, and the Location will have no duty or obligation to make any changes or alterations to any Materials that may have been prepared based on this Authorization. I represent that I have read this Authorization, understand the contents and am able to grant the rights and waivers it contains. I understand that the terms of this Authorization are contractual and not mere recitals. I am signing this document freely and voluntarily.
  
  Media Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children agree to the above media release statement. Please fill out this field.
  
  Program Fees REQUIRED 125.0 – First year. 250.0 – Second year including retreat. Does NOT include ceremony fee of +$50 that covers gown, photos, and certificates. Please fill out this field.
  
  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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  This email should not be the same as the parent's email.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  My child has received the following sacraments REQUIRED Baptism First Communion Confirmation Please fill out this field.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  I have the following documents: REQUIRED Certificate of Baptism Certificate of Birth Certificate of First Communion Please fill out this field.
  
  What was the last year of Religious Education your child has attended? REQUIRED Please fill out this field.
  
  Living Arrangements REQUIRED Please fill out this field.
  
  Are there any custody issues or restraining orders in place related to your child? REQUIRED No Yes Please fill out this field.
  
  Given the nature of the program, does your child or youth have any physical, mental, emotional, cognitive, or other limitations or restrictions that would require the parish to make a minor adjustment to enable your child or youth to participate? REQUIRED No Yes Please fill out this field.
  
  If yes, what type of restriction does your child or youth have or what adjustment(s) will be needed?
  
  Permission and Medical Release
  I request that my child be permitted to participate in the above activity. I am not aware of any physical or medical condition my child has that would prevent my child from participating fully in this activity. If my child needs to take medication while participating in this activity, I hereby give my child permission to self-administer his/her medication in accordance with the Medication Authorization and Permission Form, and, if my child cannot self-administer, I give permission to the responsible staff members or chaperones to administer or to assist in the administration of my child’s medication. I also give permission to the responsible staff members, chaperones, medical practitioners and medical facilities to use their judgement in obtaining and providing medical treatment for my child should it become necessary to do so. I understand that health insurance benefits through the Location, if any, may have limited application, and that I am entirely responsible for the cost of all medical treatment provided to my child. I agree to reimburse the Location for the cost of any medical treatment and related expense incurred.
  
  Release of Liability
  As a condition of participating in this activity, I hereby hold harmless, release and discharge The Roman Catholic Archbishop of Los Angeles, a corporation sole, Archdiocese of Los Angeles Education & Welfare Corporation and the Location, their respective agents and employees and any parent/volunteer/chaperone, from any and all liability, loss or claims for personal injuries, wrongful death or property damage that I or my child may suffer as a result of participation in the activity described above.
  
  My son/daughter has the following medical needs, allergies, or dietary restrictions:
  
  Medical Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children, agree to the above medical treatment statement. Please fill out this field.
  
  Media Release
  I understand and agree that my child’s image, voice, name and/or work (“Personal Information”) relating to the events or activities described in this program/process above will be used for noncommercial purposes, including, but not limited to, publicity, exhibits, electronic media broadcasts or research. I understand and agree that my child’s Personal Information may be copied, edited and distributed by the Location in publications, catalogues, brochures, books, yearbooks, magazines, exhibits, films, videotapes, CDs, DVDs, email messages, websites, or any other form now known or later developed (“Materials”). The Location may use the Personal Information at its sole discretion, with or without my child’s name or with a fictitious name, and with accurate or fictitious biographical material. Incarnation Church will not use the Personal Information for improper purposes or in a manner inconsistent with the teachings of the Roman Catholic Church. I waive any right to inspect or approve any Materials that may be created using the Personal Information now and in the future. In exchange for the opportunity given to my child by the Incarnation Church to participate in the activity, I agree that neither I, nor my child, will receive monetary compensation, royalties or credit. I understand and agree that the Incarnation Church shall be the owner of all right, title and interest, including copyright, in the photographs, electronic recordings and Materials. If Incarnation Church intends to use the Materials for a commercial purpose, I will be provided at that time with information about the terms of the commercial use.
  
  Release of Liability
  I hereby waive, release and forever discharge any and all claims, demands, or causes of action against the Incarnation Church and its affiliated entities, employees, agents, contractors and any other person, organization, or entity assisting them with the photography, electronic recording or Materials, for damages or injuries in any way related to, or arising from the photography, electronic recording or Materials, or the use of the Personal Information, and I expressly assume the risk of any resulting injury or damage. I further understand and agree that this Authorization remains in effect until it is withdrawn in writing. I understand that if I change my mind about this Authorization, that I will submit another, new authorization form to the Incarnation Church. However, my new authorization will not have the effect of revoking this Authorization, and the Location will have no duty or obligation to make any changes or alterations to any Materials that may have been prepared based on this Authorization. I represent that I have read this Authorization, understand the contents and am able to grant the rights and waivers it contains. I understand that the terms of this Authorization are contractual and not mere recitals. I am signing this document freely and voluntarily.
  
  Media Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children agree to the above media release statement. Please fill out this field.
  
  Program Fees REQUIRED 125.0 – First year. 250.0 – Second year including retreat. Does NOT include ceremony fee of +$50 that covers gown, photos, and certificates. Please fill out this field.
  
  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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  This email should not be the same as the parent's email.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  My child has received the following sacraments REQUIRED Baptism First Communion Confirmation Please fill out this field.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  I have the following documents: REQUIRED Certificate of Baptism Certificate of Birth Certificate of First Communion Please fill out this field.
  
  What was the last year of Religious Education your child has attended? REQUIRED Please fill out this field.
  
  Living Arrangements REQUIRED Please fill out this field.
  
  Are there any custody issues or restraining orders in place related to your child? REQUIRED No Yes Please fill out this field.
  
  Given the nature of the program, does your child or youth have any physical, mental, emotional, cognitive, or other limitations or restrictions that would require the parish to make a minor adjustment to enable your child or youth to participate? REQUIRED No Yes Please fill out this field.
  
  If yes, what type of restriction does your child or youth have or what adjustment(s) will be needed?
  
  Permission and Medical Release
  I request that my child be permitted to participate in the above activity. I am not aware of any physical or medical condition my child has that would prevent my child from participating fully in this activity. If my child needs to take medication while participating in this activity, I hereby give my child permission to self-administer his/her medication in accordance with the Medication Authorization and Permission Form, and, if my child cannot self-administer, I give permission to the responsible staff members or chaperones to administer or to assist in the administration of my child’s medication. I also give permission to the responsible staff members, chaperones, medical practitioners and medical facilities to use their judgement in obtaining and providing medical treatment for my child should it become necessary to do so. I understand that health insurance benefits through the Location, if any, may have limited application, and that I am entirely responsible for the cost of all medical treatment provided to my child. I agree to reimburse the Location for the cost of any medical treatment and related expense incurred.
  
  Release of Liability
  As a condition of participating in this activity, I hereby hold harmless, release and discharge The Roman Catholic Archbishop of Los Angeles, a corporation sole, Archdiocese of Los Angeles Education & Welfare Corporation and the Location, their respective agents and employees and any parent/volunteer/chaperone, from any and all liability, loss or claims for personal injuries, wrongful death or property damage that I or my child may suffer as a result of participation in the activity described above.
  
  My son/daughter has the following medical needs, allergies, or dietary restrictions:
  
  Medical Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children, agree to the above medical treatment statement. Please fill out this field.
  
  Media Release
  I understand and agree that my child’s image, voice, name and/or work (“Personal Information”) relating to the events or activities described in this program/process above will be used for noncommercial purposes, including, but not limited to, publicity, exhibits, electronic media broadcasts or research. I understand and agree that my child’s Personal Information may be copied, edited and distributed by the Location in publications, catalogues, brochures, books, yearbooks, magazines, exhibits, films, videotapes, CDs, DVDs, email messages, websites, or any other form now known or later developed (“Materials”). The Location may use the Personal Information at its sole discretion, with or without my child’s name or with a fictitious name, and with accurate or fictitious biographical material. Incarnation Church will not use the Personal Information for improper purposes or in a manner inconsistent with the teachings of the Roman Catholic Church. I waive any right to inspect or approve any Materials that may be created using the Personal Information now and in the future. In exchange for the opportunity given to my child by the Incarnation Church to participate in the activity, I agree that neither I, nor my child, will receive monetary compensation, royalties or credit. I understand and agree that the Incarnation Church shall be the owner of all right, title and interest, including copyright, in the photographs, electronic recordings and Materials. If Incarnation Church intends to use the Materials for a commercial purpose, I will be provided at that time with information about the terms of the commercial use.
  
  Release of Liability
  I hereby waive, release and forever discharge any and all claims, demands, or causes of action against the Incarnation Church and its affiliated entities, employees, agents, contractors and any other person, organization, or entity assisting them with the photography, electronic recording or Materials, for damages or injuries in any way related to, or arising from the photography, electronic recording or Materials, or the use of the Personal Information, and I expressly assume the risk of any resulting injury or damage. I further understand and agree that this Authorization remains in effect until it is withdrawn in writing. I understand that if I change my mind about this Authorization, that I will submit another, new authorization form to the Incarnation Church. However, my new authorization will not have the effect of revoking this Authorization, and the Location will have no duty or obligation to make any changes or alterations to any Materials that may have been prepared based on this Authorization. I represent that I have read this Authorization, understand the contents and am able to grant the rights and waivers it contains. I understand that the terms of this Authorization are contractual and not mere recitals. I am signing this document freely and voluntarily.
  
  Media Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children agree to the above media release statement. Please fill out this field.
  
  Program Fees REQUIRED 125.0 – First year. 250.0 – Second year including retreat. Does NOT include ceremony fee of +$50 that covers gown, photos, and certificates. Please fill out this field.
  
  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.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  This email should not be the same as the parent's email.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  My child has received the following sacraments REQUIRED Baptism First Communion Confirmation Please fill out this field.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  I have the following documents: REQUIRED Certificate of Baptism Certificate of Birth Certificate of First Communion Please fill out this field.
  
  What was the last year of Religious Education your child has attended? REQUIRED Please fill out this field.
  
  Living Arrangements REQUIRED Please fill out this field.
  
  Are there any custody issues or restraining orders in place related to your child? REQUIRED No Yes Please fill out this field.
  
  Given the nature of the program, does your child or youth have any physical, mental, emotional, cognitive, or other limitations or restrictions that would require the parish to make a minor adjustment to enable your child or youth to participate? REQUIRED No Yes Please fill out this field.
  
  If yes, what type of restriction does your child or youth have or what adjustment(s) will be needed?
  
  Permission and Medical Release
  I request that my child be permitted to participate in the above activity. I am not aware of any physical or medical condition my child has that would prevent my child from participating fully in this activity. If my child needs to take medication while participating in this activity, I hereby give my child permission to self-administer his/her medication in accordance with the Medication Authorization and Permission Form, and, if my child cannot self-administer, I give permission to the responsible staff members or chaperones to administer or to assist in the administration of my child’s medication. I also give permission to the responsible staff members, chaperones, medical practitioners and medical facilities to use their judgement in obtaining and providing medical treatment for my child should it become necessary to do so. I understand that health insurance benefits through the Location, if any, may have limited application, and that I am entirely responsible for the cost of all medical treatment provided to my child. I agree to reimburse the Location for the cost of any medical treatment and related expense incurred.
  
  Release of Liability
  As a condition of participating in this activity, I hereby hold harmless, release and discharge The Roman Catholic Archbishop of Los Angeles, a corporation sole, Archdiocese of Los Angeles Education & Welfare Corporation and the Location, their respective agents and employees and any parent/volunteer/chaperone, from any and all liability, loss or claims for personal injuries, wrongful death or property damage that I or my child may suffer as a result of participation in the activity described above.
  
  My son/daughter has the following medical needs, allergies, or dietary restrictions:
  
  Medical Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children, agree to the above medical treatment statement. Please fill out this field.
  
  Media Release
  I understand and agree that my child’s image, voice, name and/or work (“Personal Information”) relating to the events or activities described in this program/process above will be used for noncommercial purposes, including, but not limited to, publicity, exhibits, electronic media broadcasts or research. I understand and agree that my child’s Personal Information may be copied, edited and distributed by the Location in publications, catalogues, brochures, books, yearbooks, magazines, exhibits, films, videotapes, CDs, DVDs, email messages, websites, or any other form now known or later developed (“Materials”). The Location may use the Personal Information at its sole discretion, with or without my child’s name or with a fictitious name, and with accurate or fictitious biographical material. Incarnation Church will not use the Personal Information for improper purposes or in a manner inconsistent with the teachings of the Roman Catholic Church. I waive any right to inspect or approve any Materials that may be created using the Personal Information now and in the future. In exchange for the opportunity given to my child by the Incarnation Church to participate in the activity, I agree that neither I, nor my child, will receive monetary compensation, royalties or credit. I understand and agree that the Incarnation Church shall be the owner of all right, title and interest, including copyright, in the photographs, electronic recordings and Materials. If Incarnation Church intends to use the Materials for a commercial purpose, I will be provided at that time with information about the terms of the commercial use.
  
  Release of Liability
  I hereby waive, release and forever discharge any and all claims, demands, or causes of action against the Incarnation Church and its affiliated entities, employees, agents, contractors and any other person, organization, or entity assisting them with the photography, electronic recording or Materials, for damages or injuries in any way related to, or arising from the photography, electronic recording or Materials, or the use of the Personal Information, and I expressly assume the risk of any resulting injury or damage. I further understand and agree that this Authorization remains in effect until it is withdrawn in writing. I understand that if I change my mind about this Authorization, that I will submit another, new authorization form to the Incarnation Church. However, my new authorization will not have the effect of revoking this Authorization, and the Location will have no duty or obligation to make any changes or alterations to any Materials that may have been prepared based on this Authorization. I represent that I have read this Authorization, understand the contents and am able to grant the rights and waivers it contains. I understand that the terms of this Authorization are contractual and not mere recitals. I am signing this document freely and voluntarily.
  
  Media Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children agree to the above media release statement. Please fill out this field.
  
  Program Fees REQUIRED 125.0 – First year. 250.0 – Second year including retreat. Does NOT include ceremony fee of +$50 that covers gown, photos, and certificates. Please fill out this field.
  
  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.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  This email should not be the same as the parent's email.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  My child has received the following sacraments REQUIRED Baptism First Communion Confirmation Please fill out this field.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  I have the following documents: REQUIRED Certificate of Baptism Certificate of Birth Certificate of First Communion Please fill out this field.
  
  What was the last year of Religious Education your child has attended? REQUIRED Please fill out this field.
  
  Living Arrangements REQUIRED Please fill out this field.
  
  Are there any custody issues or restraining orders in place related to your child? REQUIRED No Yes Please fill out this field.
  
  Given the nature of the program, does your child or youth have any physical, mental, emotional, cognitive, or other limitations or restrictions that would require the parish to make a minor adjustment to enable your child or youth to participate? REQUIRED No Yes Please fill out this field.
  
  If yes, what type of restriction does your child or youth have or what adjustment(s) will be needed?
  
  Permission and Medical Release
  I request that my child be permitted to participate in the above activity. I am not aware of any physical or medical condition my child has that would prevent my child from participating fully in this activity. If my child needs to take medication while participating in this activity, I hereby give my child permission to self-administer his/her medication in accordance with the Medication Authorization and Permission Form, and, if my child cannot self-administer, I give permission to the responsible staff members or chaperones to administer or to assist in the administration of my child’s medication. I also give permission to the responsible staff members, chaperones, medical practitioners and medical facilities to use their judgement in obtaining and providing medical treatment for my child should it become necessary to do so. I understand that health insurance benefits through the Location, if any, may have limited application, and that I am entirely responsible for the cost of all medical treatment provided to my child. I agree to reimburse the Location for the cost of any medical treatment and related expense incurred.
  
  Release of Liability
  As a condition of participating in this activity, I hereby hold harmless, release and discharge The Roman Catholic Archbishop of Los Angeles, a corporation sole, Archdiocese of Los Angeles Education & Welfare Corporation and the Location, their respective agents and employees and any parent/volunteer/chaperone, from any and all liability, loss or claims for personal injuries, wrongful death or property damage that I or my child may suffer as a result of participation in the activity described above.
  
  My son/daughter has the following medical needs, allergies, or dietary restrictions:
  
  Medical Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children, agree to the above medical treatment statement. Please fill out this field.
  
  Media Release
  I understand and agree that my child’s image, voice, name and/or work (“Personal Information”) relating to the events or activities described in this program/process above will be used for noncommercial purposes, including, but not limited to, publicity, exhibits, electronic media broadcasts or research. I understand and agree that my child’s Personal Information may be copied, edited and distributed by the Location in publications, catalogues, brochures, books, yearbooks, magazines, exhibits, films, videotapes, CDs, DVDs, email messages, websites, or any other form now known or later developed (“Materials”). The Location may use the Personal Information at its sole discretion, with or without my child’s name or with a fictitious name, and with accurate or fictitious biographical material. Incarnation Church will not use the Personal Information for improper purposes or in a manner inconsistent with the teachings of the Roman Catholic Church. I waive any right to inspect or approve any Materials that may be created using the Personal Information now and in the future. In exchange for the opportunity given to my child by the Incarnation Church to participate in the activity, I agree that neither I, nor my child, will receive monetary compensation, royalties or credit. I understand and agree that the Incarnation Church shall be the owner of all right, title and interest, including copyright, in the photographs, electronic recordings and Materials. If Incarnation Church intends to use the Materials for a commercial purpose, I will be provided at that time with information about the terms of the commercial use.
  
  Release of Liability
  I hereby waive, release and forever discharge any and all claims, demands, or causes of action against the Incarnation Church and its affiliated entities, employees, agents, contractors and any other person, organization, or entity assisting them with the photography, electronic recording or Materials, for damages or injuries in any way related to, or arising from the photography, electronic recording or Materials, or the use of the Personal Information, and I expressly assume the risk of any resulting injury or damage. I further understand and agree that this Authorization remains in effect until it is withdrawn in writing. I understand that if I change my mind about this Authorization, that I will submit another, new authorization form to the Incarnation Church. However, my new authorization will not have the effect of revoking this Authorization, and the Location will have no duty or obligation to make any changes or alterations to any Materials that may have been prepared based on this Authorization. I represent that I have read this Authorization, understand the contents and am able to grant the rights and waivers it contains. I understand that the terms of this Authorization are contractual and not mere recitals. I am signing this document freely and voluntarily.
  
  Media Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children agree to the above media release statement. Please fill out this field.
  
  Program Fees REQUIRED 125.0 – First year. 250.0 – Second year including retreat. Does NOT include ceremony fee of +$50 that covers gown, photos, and certificates. Please fill out this field.
  
  Child 6
  
  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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  This email should not be the same as the parent's email.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  My child has received the following sacraments REQUIRED Baptism First Communion Confirmation Please fill out this field.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  I have the following documents: REQUIRED Certificate of Baptism Certificate of Birth Certificate of First Communion Please fill out this field.
  
  What was the last year of Religious Education your child has attended? REQUIRED Please fill out this field.
  
  Living Arrangements REQUIRED Please fill out this field.
  
  Are there any custody issues or restraining orders in place related to your child? REQUIRED No Yes Please fill out this field.
  
  Given the nature of the program, does your child or youth have any physical, mental, emotional, cognitive, or other limitations or restrictions that would require the parish to make a minor adjustment to enable your child or youth to participate? REQUIRED No Yes Please fill out this field.
  
  If yes, what type of restriction does your child or youth have or what adjustment(s) will be needed?
  
  Permission and Medical Release
  I request that my child be permitted to participate in the above activity. I am not aware of any physical or medical condition my child has that would prevent my child from participating fully in this activity. If my child needs to take medication while participating in this activity, I hereby give my child permission to self-administer his/her medication in accordance with the Medication Authorization and Permission Form, and, if my child cannot self-administer, I give permission to the responsible staff members or chaperones to administer or to assist in the administration of my child’s medication. I also give permission to the responsible staff members, chaperones, medical practitioners and medical facilities to use their judgement in obtaining and providing medical treatment for my child should it become necessary to do so. I understand that health insurance benefits through the Location, if any, may have limited application, and that I am entirely responsible for the cost of all medical treatment provided to my child. I agree to reimburse the Location for the cost of any medical treatment and related expense incurred.
  
  Release of Liability
  As a condition of participating in this activity, I hereby hold harmless, release and discharge The Roman Catholic Archbishop of Los Angeles, a corporation sole, Archdiocese of Los Angeles Education & Welfare Corporation and the Location, their respective agents and employees and any parent/volunteer/chaperone, from any and all liability, loss or claims for personal injuries, wrongful death or property damage that I or my child may suffer as a result of participation in the activity described above.
  
  My son/daughter has the following medical needs, allergies, or dietary restrictions:
  
  Medical Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children, agree to the above medical treatment statement. Please fill out this field.
  
  Media Release
  I understand and agree that my child’s image, voice, name and/or work (“Personal Information”) relating to the events or activities described in this program/process above will be used for noncommercial purposes, including, but not limited to, publicity, exhibits, electronic media broadcasts or research. I understand and agree that my child’s Personal Information may be copied, edited and distributed by the Location in publications, catalogues, brochures, books, yearbooks, magazines, exhibits, films, videotapes, CDs, DVDs, email messages, websites, or any other form now known or later developed (“Materials”). The Location may use the Personal Information at its sole discretion, with or without my child’s name or with a fictitious name, and with accurate or fictitious biographical material. Incarnation Church will not use the Personal Information for improper purposes or in a manner inconsistent with the teachings of the Roman Catholic Church. I waive any right to inspect or approve any Materials that may be created using the Personal Information now and in the future. In exchange for the opportunity given to my child by the Incarnation Church to participate in the activity, I agree that neither I, nor my child, will receive monetary compensation, royalties or credit. I understand and agree that the Incarnation Church shall be the owner of all right, title and interest, including copyright, in the photographs, electronic recordings and Materials. If Incarnation Church intends to use the Materials for a commercial purpose, I will be provided at that time with information about the terms of the commercial use.
  
  Release of Liability
  I hereby waive, release and forever discharge any and all claims, demands, or causes of action against the Incarnation Church and its affiliated entities, employees, agents, contractors and any other person, organization, or entity assisting them with the photography, electronic recording or Materials, for damages or injuries in any way related to, or arising from the photography, electronic recording or Materials, or the use of the Personal Information, and I expressly assume the risk of any resulting injury or damage. I further understand and agree that this Authorization remains in effect until it is withdrawn in writing. I understand that if I change my mind about this Authorization, that I will submit another, new authorization form to the Incarnation Church. However, my new authorization will not have the effect of revoking this Authorization, and the Location will have no duty or obligation to make any changes or alterations to any Materials that may have been prepared based on this Authorization. I represent that I have read this Authorization, understand the contents and am able to grant the rights and waivers it contains. I understand that the terms of this Authorization are contractual and not mere recitals. I am signing this document freely and voluntarily.
  
  Media Release: REQUIRED By checking the box, I, the parent/guardian of above named child/children agree to the above media release statement. Please fill out this field.
  
  Program Fees REQUIRED 125.0 – First year. 250.0 – Second year including retreat. Does NOT include ceremony fee of +$50 that covers gown, photos, and certificates. Please fill out this field.
- Thank you for completing your 2021-2022 Religious Ed registration online! Please select one of the payment options below to submit your registration.
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Incarnation Catholic Church

1001 N Brand Boulevard, Glendale, CA 91202

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2021-2022 Registration For Confirmation