Confirmation Information Form
Email address *
Student's Last Name
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Student's First Name
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Student's Middle Name
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School
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Grade
Interests & Hobbies
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School Activities
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Church Activities
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Where were you born?
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Other places you have lived?
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Have you been baptized?
Where?
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When?
MM
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DD
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YYYY
Parent(s)/Guardian(s)
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Home Phone
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Parent 1 Mobile #
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Parent 2 Mobile #
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Student Mobile #
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Home Address
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City
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State
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Zip
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Anything else you would like for Pastor Beth to know about you?
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A copy of your responses will be emailed to the address you provided.
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