This uniquely shaped 4-Way medal is one of our most popular pieces of religious jewelry. This necklace is particularly appropriate for Confirmations because it features a dove in the center to represent the Holy Spirit. In addition, this 4-Way cross necklace is also a great inspirational gift idea for First Communion, RCIA, or as a 'thinking of you' inspirational gift for any devoted Catholic in your life. Like all 4-Way medals that you can buy at St. Patrick's Guild, this exquisitely designed necklace features the Scapular (the Sacred Heart of Jesus) on top, St. Joseph on the left, St. Christopher on the right, and the Miraculous medal on the bottom. The sterling silver cross comes on an 18 inch stainless steel chain, which is perfect for most women and children. Comes in a velvet hinged jewelry gift box.