Revised July 28, 2020 SANTA MARIA DE LA PAZ CONFIRMATION REGISTRATION Please PRINT all information with black or blue ink. (Provide your name as shown on your baptismal certificate.) Last Name ______________________________First Name _______________________Middle Name__________________ Date of Birth ____/____/____ Age at time of Confirmation ___ T-shirt Size __XS __S __M __L __XL __ 2XL Candidate’s Address ____________________________________________________ City _______________ Zip ________ Candidate’s Cell ______________________________ Candidate’s Home ___________________________ Allergies: _____________________________________ Illness/Conditions: __________________________________ Candidate’s High School ______________________________ Grade _______ 1st Holy Communion? Yes/No _____ Have you attended high school level Religious Education? (Yes/No) ____ If so, where?_______________________________ Are you and your family registered at Santa Maria? Yes/No ____ If no, where are you registered? _______________________ Primary or Contact Parent Name _______________________________________ E-mail ______________________________ Father’s Name (or Guardian) _____________________________________________________________________ Work _____________________ Home ____________________ Cell ____________________ Mother’s Name (or Guardian) _____________________________________________________________________ Work _____________________ Home ____________________ Cell ____________________ Sponsor’s Name ________________________________________________________________________________ Sponsor’s Address _______________________________________________ City _______________ Zip ________ Sponsor’s Preferred Contact Phone Number ______________________________________________________ Sponsor’s Parish ________________________________________________City/ST__________________________ For Candidate to Complete By signing below, I understand that in order to be confirmed I must : Attend all class sessions Turn in all paper work and assignments when due Attend all Sunday 5:00 PM Masses Complete thirty (30) hours of church and Attend Confirmation and Lenten retreat community/civic service Attend XLT Worship Services Participate in Tenebrae and Mimes Passion Service Attend 2 First Friday holy hours Attend all Novena to the Holy Spirit evenings _____________________________________________________ ____________________________________ Candidate’s Signature Date For Office Use: Cash or Check No. _________________ Receipt No. _________________
Transcript
Revised July 28, 2020
SANTA MARIA DE LA PAZ CONFIRMATION REGISTRATION
Please PRINT all information with black or blue ink. (Provide your name as shown on your baptismal certificate.)
Last Name ______________________________First Name _______________________Middle Name__________________
Date of Birth ____/____/____ Age at time of Confirmation ___ T-shirt Size __XS __S __M __L __XL __ 2XL
Candidate’s Address ____________________________________________________ City _______________ Zip ________
Candidate’s Cell ______________________________ Candidate’s Home ___________________________
By signing below, I understand that in order to be confirmed I must:
Attend all class sessions Turn in all paper work and assignments when due
Attend all Sunday 5:00 PM Masses Complete thirty (30) hours of church and Attend Confirmation and Lenten retreat community/civic service Attend XLT Worship Services Participate in Tenebrae and Mimes Passion Service Attend 2 First Friday holy hours Attend all Novena to the Holy Spirit evenings
Date: Fr. Daniel M. Balizan Santa Maria de la Paz Catholic Community 11 College Avenue Santa Fe, NM 87508-9225 Dear Fr. Balizan:
__________________________________________, a member of ______________________________________________________, Candidate’s Name Name of Parish
is unable to fulfill the requirements in our parish for Confirmation due to significant conflicts with existing activities in which he/she is involved. These conflicts, which include but are not limited to after-school activities, work, sports-related events, caring for family members, etc., conflict with the times currently scheduled for our Confirmation program. These conflicts make it difficult for the above mentioned individual to fulfill the hours required to effectively complete the requirements of our program for Confirmation in May 2021. With this letter, I am requesting he/she be granted permission to participate in the Confirmation program at Santa Maria de la Paz Catholic Community. If you have questions, please call me at _______________________. In Christ, __________________________________________________ (Parish Priest or Confirmation Coordinator)
Approved/Disapproved: ________________________________________________________ Date ___________________ Fr. Daniel M. Balizan
Revised July 28, 2020
Verification of High School Level Religious Education
The person named below is a candidate for the Sacrament of Confirmation at Santa Maria
de la Paz Catholic Community in Santa Fe, New Mexico. The candidate is required to
provide proof of attending high school-level Religious Education. Please verify that the
candidate has indeed attended and sufficiently completed 8th
grade or higher level
Religious Education at your parish.
________________________________________ attended St. Michael’s High School for Name of Candidate
the school year 2019-2020.
The records of our Religious Education Office at
________________________________________________________________________ Name of Parish
indicate that _____________________________________________________________ Name of Candidate
has successfully completed at least one year of 8th
grade or high school level Religious
Education and is therefore eligible to participate in the Confirmation Program at Santa Maria de
la Paz Catholic Community.
_________________________________________________
Signature of Director of Religious Education or
Other Parish Representative
_________________________________________________
Date
August 23, 2020
Dear Parent(s) or Guardian(s):
This is to inform you about a special class we will teach as part of your child’s Youth program. This class
aims to teach youth how to be safe, protect themselves, and communicate any potential danger.
In the Catholic Church’s desire to help you keep your children safe, the Archdiocese of Santa Fe requires
that all children and young people participating in religious education in any parish or Catholic school in
the Archdiocese receive instruction in protecting themselves and communicating potential danger to a
parent or other responsible adult.
The document titled Promise to Protect, Pledge to Heal, Charter for the Protection of Children and
Young People written by the American Catholic Bishops, contains the flowing instruction: Dioceses will
establish safe environments and programs that will “provide education and training for children, youth,
parents, ministers, educators and others about ways to make and maintain a safe environment for
children.” The Archdiocese, in order to comply with this instruction, has mandated that programs to
educate children on how to be safe, protect themselves, and communicate any potential danger, be offered
annually to children of all grades in Catholic schools and parish religious education and youth programs.
This instruction, Circle of Grace, will take place Sunday, September 20, 2020 at 3:00PM at the Social
Hall. The materials that will be used for this instruction will be available for you to review in the office of
the Director of Religious Education.
If for any reason, you do NOT want your child to participate in this class, YOU MUST SIGN THE
FORM BELOW AND RETURN IT TO BEFORE SUNDAY, SEPTEMBER 20, 2020. Not
returning this letter indicates permission for your child to participate in this class.
Sincerely in Christ,
Fr. Daniel M. Balizan
Fr. Daniel M. Balizan
Pastor
I do NOT wish for my son/daughter _______________________________ to participate in the Circle of name of candidate Grace Program for learning how to stay safe and protect himself/herself from potential abuse.
_______________________________________________ ______________________________ Signature of Parent or Legal Guardian Date
23 agosto 2020
Estimados Padres de Familia:
Le escribimos para informarle acerca de una clase especial que se enseñará como parte de la educación
religiosa regular de su hijo/a. Esta clase pretende enseñar a los niños y jóvenes a estar seguros, a
protegerse a sí mismos y a comunicar cualquier peligro potencial.
En el deseo de la Iglesia de mantener a sus hijos a salvo, la Arquidiócesis requiere que todos los niños y
jóvenes que participen en la educación religiosa en cualquier parroquia o escuela Católica en la
Arquidiócesis, reciban instrucción sobre cómo protegerse a sí mismos y comunicar cualquier peligro
potencial a sus padres o a otro adulto responsable.
La Arquidiócesis de Santa Fe, para poder cumplir con el documento, Promesa de Proteger, Garantía de
Sanar, Estatutos para la Protección de Niños y Jóvenes escrito por los Obispos Católicos Americanos, ha
ordenado que se lleven a cabo programas anuales para niños en todos los grados de las escuelas Católicas,
en los programas parroquiales de educación religiosa y en los programas para jóvenes, para educarlos
sobre cómo estar a salvo, protegerse a sí mismos y sobre cómo comunicar cualquier peligro potencial.
Esta instrucción, Circle of Grace, se llevará a cabo el domingo, 20 septiembre, 2020, a las 3:00 de la
tarde en el salón de la parroquia. Los materiales que se utilizarán para esta instrucción estarán
disponibles para que ustedes puedan revisarlos en la parroquia o en la oficina.
Si ustedes no quieren que sus hijos participen en esta instrucción, favor de llenar la forma debajo de esta
carta y regresarla a la oficina antes de 20 septiembre, 2020.
Si ustedes tienen alguna pregunta o inquietud, por favor póngase en contacto con Tommy Baca al número
de teléfono 629-1328 durante las horas regulares de oficina.
Archdiocese of Santa Fe Affidavit of Eligibility for the Ministry of
Baptism or Confirmation Sponsor
I, __________________________________________________________________________, (Please print complete name of Sponsor) swear to Almighty God that:
I am a baptized member of the Catholic Church
I am at least 16 years old
I have made my First Holy Communion and received the Sacrament of Confirmation
I am not married outside of the Catholic Church, nor am I cohabitating (living outside of marriage with someone)
I normally attend Mass on Sundays and Holy Days of Obligation, receive the Sacrament of Reconciliation (Confession) at least once a year, and go to Holy Communion at least once a year in the Easter Season.
I understand and accept the responsibilities which I undertake as a sponsor for this person. I will assist his/her parents in their Christian duty, and will help this person by example, word, and action to live as a faithful Christian in communion with, and according to, the teachings of the Holy Catholic Church.
_________________________________________ ________________________________ Signature of Sponsor Date _________________________________________ Name of Candidate Receiving Sacrament
This person is a registered member of this parish and has sworn that they fulfill the canonical requirements to be a sponsor for Baptism or Confirmation. _________________________________________ ________________________________ Signature of Pastor or Parish Delegate Date _____________________________________________ {parish seal} Name of Parish and Location
Arquidiócesis de Santa Fe Declaración Jurada de Elegibilidad para el Ministerio de
Bautismo or la Confirmación Patroncindador
Yo, __________________________________________________________________________ (Por favor nombre completo de impresión)
juro por Dios Todopoderoso que:
Soy un miembro bautizado de la Iglesia Católica
Tengo por lo menos 16 años de edad
He hecho mi primera comunión y recibió el sacramento de la Confirmación
No estoy casado fuera de la Iglesia Católica, ni estoy cohabitación (vivir fuera del matrimonio con alguien)
Yo normalmente a misa los domingos y fiestas de guardar, recibir el Sacramento de la Reconciliación (Confesión) al menos una vez al año, y me voy a la Sagrada Comunión al menos una vez al año en el tiempo de Pascua.
Entiendo y acepto las responsabilidades que me comprometo como patrocinador de este usuario. Voy a ayudar a su / sus padres en su deber cristiano y voy a ayudar a esta persona a través del ejemplo, la palabra y la acción de vivir como un cristiano fiel en comunión con, y de acuerdo con las enseñanzas de la Santa Iglesia Católica.
_________________________________________ ________________________________ Firma de Padrino/Madrina Fecha _________________________________________ Nombre de candidato/a recibiendo el Sacramento de Bautismo o Confirmación
Esta persona es miembro de esta parroquia y ha jurado que cumplan con los requisitos canónicos para ser un patrocinador para el Bautismo o la Confirmación. _________________________________________ ________________________________ Firma del Pastor o Parroquia Delegado Fecha _____________________________________________ {parish seal} Nombre de Parroquia y Ciudad
Santa Maria de la Paz Catholic Community Confirmation Program – Code of Conduct
Code of Conduct
1. All candidates, teachers, and anyone involved in the program, must respect everyone. Disrespect will not
be tolerated.
2. Cell phones or any other communication device are not allowed in the classes and will be confiscated. If a
phone is needed for emergencies, candidates can go to the office.
3. No weapons (knives, pocket knives, guns, etc.) may be brought on to church property.
4. Profanity, vulgar and racist language or behavior is not acceptable.
5. Candidates must be on time for class beginning at 3:00 PM. They will be promptly dismissed after the
5:00PM Life Teen Mass. If a candidate arrives after 3:15 PM, he/she will not be admitted to class and will be
marked absent.
6. For safety reasons, parents needing their son or daughter to leave early must send a note with a phone
number for verification. This will be verified the same evening.
7. Substance Abuse: Any candidate using, being under the influence of, or possessing illegal drugs or alcohol
will be dismissed from the program. No exceptions (zero tolerance).
Disciplinary Procedure
The procedure for disciplinary action is as follows. Four strikes and you’re out!
1st disciplinary instance: Candidate will be taken out of class and sent home. Parents will be called the day of the
incident.
2nd disciplinary instance: Candidate will be taken out of class and sent home. Parents and candidate will be asked
to meet with the Director of Youth Ministry.
3rd disciplinary instance: Candidate will be taken out of class and sent home. Parent will need to attend class with
student for a specified amount of time, after meeting with the Pastor.
4th disciplinary instance: Candidate will be dismissed from the program and invited to return the following year.
Our signature below indicates that we have read the above and understand the Code of Conduct.
Phone:______________________________________ ______________________________________ ______________________________________ Home Cell Work
PADRE / TUTOR FORMA DE PERMISO / AUTORIZACIÓN MÉDICA / ACUERDO DE INDEMNIZACIÓN
PATROCINADOR DE LA ACTIVIDAD Santa Maria de la Paz Comunidad Católica
ACTIVIDAD Retiro de Confirmación
FECHA(S) DE LA ACTIVIDAD 25-27 septiembre, 2020
LUGAR DE LA ACTIVIDAD Ghost Ranch, Abiquiu, NM
Como padre/tutor legal de __________________________________________________, soy legalmente responsable por
cualquier acción personal llevada a cabo por el menor mencionado anteriormente (“participante”).
En mi nombre, en nombre del menor mencionado, o en nombre de nuestros herederos, sucesores, y
asignados, estoy de acuerdo en exonerar o liberar de culpa y defender a Santa Maria de la Paz Catholic
Community sus oficiales, directores, empleados y agentes, y a la Arquidiócesis de Santa fe, sus empleados y
agentes, chaperones, o representantes asociados con el evento, de cualquier reclamo que surja de, o en
conexión con la asistencia de mi hijo/a al evento o en conexión con cualquier enfermedad o lesión
(incluyendo la muerte) o de los costos por el tratamiento en conexión con ésta, y estoy de acuerdo en
indemnizar a la parroquia/escuela, sus oficiales, directores y agentes y a la Arquidiócesis de Santa Fe, sus
empleados y agentes y chaperones, o representantes asociados con el evento por el pago razonable de
honorarios de abogados y gastos que puedan haberse incurrido en cualquier acción judicial en contra de ellos
como resultado de dicha lesión o daño, a menos que dicho reclamo surja de la negligencia de la
parroquia/escuela o la Arquidiócesis de Santa Fe.
Por este medio autorizo al Supervisor de la actividad o su designado a actuar en mi nombre para autorizar la
atención médica, cirugía, u otros servicios del cuidado de la salud recomendados en una situación de
emergencia mientras mi hijo/a participa en la actividad. Si el médico abajo mencionado no puede ser
localizado, por este medio autorizo a cualquier médico con licencia o centro médico a proporcionar
tratamiento a mi hijo/a.
Por este medio autorizo al Supervisor de la actividad o a su designado a administrar los siguientes medicamentos a mi hijo/a de acuerdo a las instrucciones descritas aquí:
On-line events and session regarding catechesis will be held in lieu of our regularly scheduled
catechetical in-person sessions. The program(s) will use software, tools and applications
provided by third-parties that participants, parents/legal guardians, volunteers and/or staff will
access via the internet and use for purposes of communication and programming and potential
content creation. These platforms may include but are not limited to: Zoom, Google Classroom,
GoToMeeting, Flipgrid, Skype, Facebook, Instagram, and YouTube.
We will be hosting different on-line events/sessions to continue to connect with, minister to, and
share the faith with the children and youth of our parish.
This Form provides your consent and release for your child to participate in the program(s) and
utilize these online applications for distance-based, virtual program purposes. Please be aware
that each application collects different information about its users and has its own privacy terms
and conditions to which members must adhere and which our parish or the archdiocese cannot
control or assume responsibility. Please review these carefully before registering your child. Our
commitment to keeping the children and youth we serve safe is always our number one priority.
To that end, we will actively monitor and may record participant activity.
The Following is the Code of Conduct we are asking all youth participating to follow:
1. Parental Permission
2. Appropriate Dress
3. Log/call in to the online platform from shared living spaces where others can monitor that
the online call is going on
4. Youth are to abide by appropriate language in both chat and online related platforms
Permission to Participate: I grant for my child to participate in these catechetical and youth ministry events that will be carried out through on-line platforms during 2020/2021. All on-line communications, class times, chats, etc. will be monitored by at least 2 safe environment certified adult catechists/youth ministers at all times. I have read this Consent and Release Form and have had the opportunity to consider its terms and understand them. I further hereby hold harmless, release and forever discharge the Parish of Santa Maria de la Paz and the Archdiocese of Santa Fe and its employees, agents, licensees and legal representatives from, and shall indemnify them against, all claims, demands, and causes of
Attachment B - 2
action which I, my heirs, representatives, executors, administrators or any other person(s) acting on my behalf or on behalf of my estate have or may have by reason of my Child’s participation in the program(s) and through my authorization, consent and release herein. I have read this Consent and Release Form, I fully understand it, and I voluntarily agree to be bound by its terms. I represent and certify that I am the parent or legal guardian of the minor. I Agree Yes No
City: _____________________________________________ State: NEW MEXICO
Below, please find your AUTHORIZATION, CONSENT AND RELEASE FOR SOCIAL MEDIA OR OTHER ELECTRONIC COMMUNICATION INVOLVING MINORS FORM. I, __________________________, am the parent or legal guardian of ____________________.
Signature
Please approve this permission slip by either mailing in your official permission along with your registration to the Director of Youth Ministry stated above, or by dropping it off in person to the Director of Youth Ministry at the Parish Office during normal office hours.
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