Confirmandi Registration 2023-2024
Thank you for taking this first step to register your child for the St. Anselm Confirmation program for 2023-2024. We look forward to working alongside you in making this a meaningful and impactful time of faith formation for not only your eighth grader, but your whole family as well.

To complete your registration, please make your payment of $275 via check that can be mailed in or dropped off to our Parish Center (530 S. Mason Road, St. Louis, MO, 63141) or you can do so with a credit card online. To pay online, visit www.stanselmstl.org and click 'GIVING' in the top right corner of the homepage followed by 'Give to St. Anselm'. Next, select a one-time donation, choose 'Confirmation Registration' from the fund drop down menu, type $275 in the amount field, and click submit. Continue to follow instructions on screen.

Contact our Director of Youth Ministry, Courtney Rockamann, with any concerns or questions. She can be reached via phone (314) 878-2120 ext. 18 or email youth@stanselmstl.org
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Student First Name *
Student Middle Name *
Student Last Name *
Student Email Address (school or personal) *
Student Cell Phone (for text reminders) *
Current School (ie/ Priory) *
Birthdate *
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Street Address *
City *
State *
Zip Code *
Home Parish (if not Saint
 Anselm, a letter granting permission to be enrolled in our program from your registered parish pastor is required)
 *
T-shirt size (for Luke 18 retreat; shirts are unisex) *
Student's Church of Baptism (copy of baptismal certificate needed for those NOT baptized at Saint Anselm) *
City and State of Baptismal Church *
Date of Baptism *
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Student Allergies or Health Concerns *
Student IEP or Learning Concerns *
Mother's Name *
Mother's Maiden Name *
Mother's Cell Phone *
Mother's Email Address *
Father's Name *
Father's Cell Phone *
Father's Email Address *
Emergency Contact Name (cannot be a parent) *
Emergency Contact Relationship (ie/ grandmother, older sibling) *
Emergency Contact Primary Phone (cell or home) *
Emergency Contact Email Address *
Parental/Guardian and Participant - Liability Waiver, Medical Consent and Media Agreement

  • I, the parent or legal guardian of the above listed child grant permission for my child to participate in the Confirmation program at St. Anselm in Creve Coeur, MO and to receive medical treatment if necessary. If I, or the listed emergency contact cannot be reached, I give my permission to the staff to secure the services of a licensed physician to provide necessary care, including anesthesia, for my child’s well-being. I also release and agree to hold harmless the Archdiocese of St. Louis, St. Anselm, and all its participants and volunteers from any liability and assume all risk from injury, damage, or expenses as the result of participation in activities throughout the Confirmation program. 
  • I authorize St. Anselm staff and volunteers to administer over-the-counter medications and basic first aid at the request of your child. This includes, but is not limited to: Tylenol, Motrin, Benadryl, cough drops, Band-Aids, and Neosporin. 
  • I understand that as a participant in St. Anselm’s Confirmation program, my child(ren) may be photographed or videotaped during the various retreats, classes, and activities. I hereby authorize the use of these photos and/or videos taken of my child during the Confirmation program be allowed for promotional purposes on St. Anselm’s website, Facebook, Instagram, Twitter, and other promotional material published by St. Anselm. I release St. Anselm from any and all liability. 

If you agree to the terms as outlined above in the consent form, type name below for electronic signature. *
Anything else you want us to know? *
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