Quinceañera

St. Patrick's Parish Community

Welcome!  You may now fill out our Quinceañera Registration form on-line and all information will be CONFIDENTIAL

Initial meeting with Fr. Mike McDermott
Initial Meeting We invite and encourage you and your family to meet with Fr. Mike McDermott and Joan Falcon DRE once to schedule your Quinceañera celebration.
Father/Guardian
Name
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Address
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Phone --
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Phone --
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Phone -- ext
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E-mail
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Mother/Guardian
Name
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Address
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Phone --
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Phone --
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Phone -- ext
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E-mail
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Quinceañera Information
*If this is your child's first time registering please supply one copy of each teen's baptismal, Eucharist and confirmation certificate to Parish office. Thank you!
Name
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Birthdate //
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Grade
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Please indicate if your child/teen has received any of these Sacraments.
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Gifts and Sacramentals
List (Multiple Choice)
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Ushers and Attendants
Ushers/Acomodadors
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How many ushers (that assist with seating guests) will you have?
Attendants/Damas
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Attendants/Chambelanes
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Escort
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Godparents/Madrinas
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Godparents/Padrinos
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Guests
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How many guests do you expect?
Contact in Case of Emergency
Name
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Phone --
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Phone --
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Phone -- ext
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Special Needs or Health Concerns
Additional information that we need to know about your child/ren to be of help to him/her for example, learning disabilities, allergies, physical disabilities, medical problems, etc.
Student Name
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Age
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Allergies
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*Important* In the event that the undersigned, or my (emergency contact), cannot be reached and in the judgement of the Director of Religious Education or other person responsible for program/group, or other appropriate staff member, there is a necessity for immediate examination and /or treatment of my child, I (we) hereby authorize any of the aforesaid personnel to obtain for my (our) child such medical services as are deemed necessary. I agree to assume the financial responsibility for any diagnosis/treatment and for medication deemed necessary.
*Signature of Parent/Guardian
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By typing in your name you agree to the terms stated.
Date //
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Publication Release
Please Read Carefully The activities of the Quinceañera are published on the St. Patrick’s website and Facebook. Although much of the information will be in word form, photos and other graphics will be an important part of our electronic publication. So, we need your permission to include photos of your child/children on the site. Know that we will follow suggested safety and privacy guidelines, no names or personal information will ever be posted on the St. Patrick’s website. Unless other written instruction is submitted, I also consent to allowing my child/children's image to be used during or after Faith Formation for Diocesan publication use: parish bulletin, the West Nebraska Register, or future advertisement of parish programs and other social media.
Please select one:
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*Signature of Parent/Guardian
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By typing in your name you agree to the terms stated.
Date //
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Volunteer Opportunities!
Please consider, we need awesome volunteers, like you!
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If you are interested in being a Catechist, Catechist Assistant, Catechist Substitute or helping with our summer programs, please indicate grade preference. Thank you!
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Suggested Stipend
Quinceañera Prepartory class/retreat. $25.00
Celebrant stipend $100.00
Stipend for use of Church building. $100.00
Stipend for use of Parish Hall. $35.00 Must also fill out St. Patrick's Parish Center Use Agreement form & The Facility Usage/Indemnity Agreement
Stipend for Musicians. 100.00
Spam Capture
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