Waterloo Catholics

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High School Confirmation

- Sacraments

2026-2027 Confirmation information

The Waterloo Parishes are moving high school confirmation to an every other year model.
There will NOT be a confirmation mass in 2026
The next confirmation session will begin for students in grades 10 and 11 for the 2026-2027 school year sometime in the spring of 2026.

We anticipate our confirmation mass will be celebrated in early 2027.

Please reach out to youth minister Annie Zeets with questions: email: [email protected]
High School Confirmation enrollment form
The maximum number of form submissions has been reached. This form is currently not available.
- Youth's Name (As it appears on their birth certificate)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Youth's Date of Birth (Month, Day, Year) REQUIRED Please fill out this field. Please enter a date.
- City & State of Birth (or list country if out of the USA) REQUIRED Please fill out this field. Please enter valid data.
- Youth's 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.
- 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.
  
  Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Father's Info
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email
  This will be used to communicate about the program.
  Please enter an email address.
- What cell phone number can we use to send text messages about program updates? REQUIRED Maximum 20 characters
  This will be used to communicate about the program.
  Please fill out this field. Please enter a phone number.
- Language in which you wish to receive information from us: REQUIRED Please fill out this field.
- Parish where you belong? REQUIRED Please fill out this field.
- If you do not belong to a Waterloo parish, please type the name of your parish? Please enter valid data.
- What school does your child attend? REQUIRED Please fill out this field. Please enter valid data.
- Current Grade of Student REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Information
  
  Is your child baptized? REQUIRED Yes No Please fill out this field.
  
  Church where baptized
  If child was not baptized in a Waterloo or Cedar Falls parish, a Baptism certificate is required.
  Please enter valid data.
- Parental Consent & Releases
  
  Media Consent & Release
  
  I understand that, unless I indicate otherwise, I give permission of the Catholic Parishes of Waterloo the use of any video, photographs, or similar items in which my child/children might appear, or statements made by them, on display on the parish website, parish bulletin, or parish social media. Note: no children’s names will be published without specific prior consent.
  
  Off-site/Field Trip Consent Form and Liability Waiver
  
  I grant permission for my child(ren) to participate in school/parish events this year that may require transportation to a location away from the school/parish site. The activities will take place under the guidance and direction of school/parish employees and/or volunteers of the Catholic Parishes of Waterloo.
  
  As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“ Participant”). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend, its officers, directors of the Catholic Parishes of Waterloo, and agents, and the Archdiocese of Dubuque, chaperones, or representatives associated with the events, arising from or in connection with my child attending the events or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the parish, its officers, directors and agents, and the Archdiocese of Dubuque, chaperones, or representatives associated with the events for reasonable attorney’s fees and expenses which they may incur in any action I/we may bring against them as a result of such injury or damage, unless such claim arises from the negligence of the parish/school or the Archdiocese of Dubuque.
  
  Sepcific Medical Matters
  I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.
- Emergency Medical Treatment
  
  Item A - Emergency Medical Treatment:
  
  In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
  
  Name, Relationship & Phone: REQUIRED Please fill out this field. Please enter valid data.
  
  Family Doctor & Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Family Health Plan Carrier & Policy # REQUIRED Please fill out this field. Please enter valid data.
  
  Item B- Other Medical Treatment
  In the event it comes to the attention of the parish/school, its officers, directors and agents, and the Archdiocese of Dubuque, chaperones, or representatives associated with the activity that my child becomes ill with symptoms such as vomiting, sore throat, fever, diarrhea, I want to be notified.
  
  I wish to be informed if my youth becomes ill (sore throat, vomiting, fever, diarrhea, etc). REQUIRED No Yes Please fill out this field.
  
  On-site Nonprescription Medication Permission
  
  I hereby grant permission for nonprescription medication (such as ibuprofen, Tylenol, throat lozenges, etc.) to be given to my child in the event a condition arises after my child is already in attendance at the on site program.
  
  I give permission to allow my youth to have nonprescription medication if needed. REQUIRED Yes No Please fill out this field.
- Fee for preparation materials25.0
Total:

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