TriCon Confirmation Program 2017-2018 Registration and Contribution Form
Welcome to the TriCon Confirmation Program for 2017-2018. This program is open to high school SOPHOMORES. If you wish to register for the Confirmation Program, which will meet twice a month from October through May, please use this form. Any questions or problems with the form, please contact Amy Bruning at abruning@triconchurch.org, or 978-369-4837.

Please note this change: Experienced Mentors have agreed to mentor student groups rather than the former 1 to 1 model. Groups will be formed and assigned mentors in September.

The Confirmation Program is facilitated by Rev. Bob Brown, Suzanne Giles and David Hart.

revbobbrown@triconchurch.org
slakegiles@gmail.com
david.hart@accellion.com

Student Information
Student's Full Name *
as you would like it to appear on your confirmation certificate
Your answer
Nickname
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Name of School attending (as of fall of 2017) *
Your answer
Student's Email Address *
Your answer
Student's Cell Phone *
Your answer
Is the student's cell phone able to accept text messages? *
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