Our Lady of Grace and St Edward’s, Chiswick,
St Dunstan’s, Gunnersbury
St Joseph’s, Grove Park
and/or have these churches as his/her common place of worship.
2. You must be 14 years old (or older) in June 2025, which is usually means they are in Year 9 at school.
3. You can commit to ALL the sessions highlighted in the 2024-25 Programme (including one of the dates for the ‘walking pilgrimage’).

Download Confirmation Programme Here

The closing date for registration for the 2023-24 programme is

Thursday 7th November 2024.

We ask you for a £40 offering towards to costs of the programme, including course materials and external speaker expenses. If this is a hardship for you, then a lesser amount would be acceptable.

IMPORTANT INFORMATION

Once you have completed this form, please pick up a Confirmation Welcome Pack from the Parish Office, where you can also submit the £40 course offering and, where appropriate, a copy of the candidate’s Certificate of Baptism (see details below under Baptism Information).

Sunday 10th November 2024, 5.30pm: An introductory talk for candidates and parents in the main church, lasting no more than 45 minutes.

There will be three sessions for parents in the Church from 5.00pm to 6.00pm on these days:

24th November 2024: Why God? (Session 1)
19th January 2025: Why Jesus Christ? (Session 2)
18th May 2025: Why the Church? (Session 3)

First Session: Sunday 17th of November, 3.3opm - 6.00pm, "ICEBREAKER" SESSION (Westminster Youth Ministry)

Confirmation programme supervisor: Fr Daniel Daley, email: chiswickconfirmation@rcdow.org.uk

Consent *

I hereby offer my consent to process and store the information in the below form.

CANDIDATE'S INFORMATION

Name *

First Name

Last Name

Date of Birth *

YYYY

Sex *

Email Address *

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

School *

School Year Group *

Parish *

You must either be a parishioner of Our Lady of Grace, St Joseph's or St Dunstan's, or regularly worship in one of these churches, to receive Confirmation preparation in this parish. If you do not fall into this category, please discuss this with Father Daniel before completing this application.

BAPTISM INFORMATION

You must provide a copy of your Certificate of Baptism to the Parish Office. If you were baptised at Our Lady of Grace and St Edward's, Chiswick, or St Dunstan's, Gunnersbury, you DO NOT need to provide this certificate.

Church of Baptism *

Full Address of Church of Baptism *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PARENTAL CONTACT

This must be a parent or legal guardian. Information will be used for routine and emergency correspondence.

Name *

First Name

Last Name

Relationship *

Phone Number *

Email Address *

MEDICAL CONDITIONS, PRIVACY & PARENTAL CONSENT

Please tick as necessary – and give any other information that you think may be relevant.

Diabetes *

Yes

Asthma *

Yes

Epilepsy *

Yes

Alergies *

Yes

Alergies, if `Yes´ please indicate

Other

I give consent to my child's name being published in the Order of Service specific to their Confirmation Mass *

Yes

PROTECTING YOUR PRIVACY: I consent to my named child on this application form taking part in this Sacramental programme. Other than those medical conditions mentioned above, and as far as I am aware, they are in good health. In the event of my child being taken ill or injured when I am not present, to the extent that they are to be taken to a medical facility, I give permission for the Catechist to share the supplied medical information and parental contact details with the medical practitioners. Protecting your privacy - Your personal details will be stored and used by the Parish for the purposes of conducting and administering the Sacrament of Confirmation. By signing below, you acknowledge that Church Law requires some of your personal data to be entered in Registers and stored permanently; and in the case of Confirmation the Parish is obliged to notify the parish where you were baptised, if different from where you make your Confirmation. Data may also have to be shared with the Diocese, e.g. in cases where certain permissions are needed. Details of how we process your data, and your rights, are on the full Privacy Notice, the link can be found in the footer of this website.

Name of Parent / Guardian *

First Name

Last Name

By submitting this online form I give consent to my child’s details being used and shared as above.

Thank you for submitting your application form.

Please pick up a Confirmation Welcome Pack from the Parish Office. You will find the opening hours on the footer of our website. You can also submit at the parish office the £40 course offering and, where appropriate, a copy of the candidate’s Certificate of Baptism.

You will soon receive an email confirming we have received the form. If there was any concerns we will let you know as soon as possible

With our best wishes and blessings

Data Protection

PARISH OFFICE OPENING TIMES

247 Chiswick High Road
London, W4 4PU

Monday 12:00noon to 4 p.m
Tuesday 9 a.m to 4 p.m
Wednesday 9 a.m to 4 p.m
Thursday 9 a.m to 4 p.m
Friday 9 a.m to 4 p.m
Saturday 2 p.m to 6 p.m