Desiring to consecrate myself entirely to the service of the ever Blessed Virgin Mary, from whom, after God, I expect all help and assistance in life and in death, I unite myself to the members of the pious archconfraternity, which has been erected in honor of Our Mother of Perpetual Help.
As my special patron I choose the the glorious Saint Alphonsus, that he may obtain for me a true and lasting devotion to the ever Blessed Virgin, Who is honored by so sweet a name.
I promise moreover, to renew my consecration to the Mother of God and to Saint Alphonsus at least once each month, and frequently to receive the Holy Sacraments.
Mother of Perpetual Help, receive me as thy servant, and grant that I may ever experience thy constant motherly protection. I promise to have recourse to thee in all my spiritual and temporal necessities.
My holy patron, Saint Alphonsus, obtain for me the grace of an ardent love for Jesus Christ and the grace of invoking our Mother of Perpetual Help. Amen.