Confirmation Registration
Thank you for using this form to sign up your student(s) for our Junior High Confirmation class for the 2016-17 school year!

Please complete a separate sign-up for each Confirmation-age student in your household.

Please note that none of the information below will be given out without your knowledge or direct consent. The contact information will only be used within the bounds of the programs and ministries of Prince of Peace.

If you have any questions, please don't hesitate to contact Kendall (kendall@propeace.org), Pastor Sara (pastorsara@propeace.org) or the church office (408-253-7167) for more information.

Student's Name
First and Last, please
Your answer
Student's Gender
Student's Birthday
MM
/
DD
/
YYYY
Grade
School
Your answer
Student's Baptism Date
Note: Students are not required to be baptized to participate in the Confirmation process.
MM
/
DD
/
YYYY
Parent / Grandparent / Guardian Name (1)
Your answer
Parent Email (1)
Your answer
Parent Cell (1)
Your answer
Allow text message updates?
Parent / Grandparent / Guardian Name (2)
Your answer
Parent Email (2)
Your answer
Parent Cell (2)
Your answer
Allow text message updates?
Student Email
Your answer
Student Cell
Your answer
Allow text message updates?
Adult Participation
Please indicate if you would be willing to help and/or serve the Confirmation Process in any of the following ways:
Submit
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