I desire, O my Saviour, humbly to offer Thee the sacrifice of a troubled spirit and a contrite heart. I grieve from my inmost heart that I have ever offended Thee by my sins, Thee my God and my chief good, Thee who art so gracious to me, and so oft refreshest me in Thy Blessed Sacrament. I grieve especially for the sins of [name(s) of the person(s)] which Thou knowest, Thou searcher of our hearts, and which I, a miserable sinner, do confess in the bitterness of my soul. Would that I had never offended Thee! Yet a contrite and humble heart, O God, Thou wilt not despise; Thou who for love of us didst give to us Thine Only-Begotten Son, to wash us from our sins in His own Blood. Amen.