Nazareth Confirmation Registration
Please complete the form below to register. Note: In submitting this information, the Confirmation student and the Confirmation parent(s) agree to the following Nazareth Behavior Covenant.

Nazareth Behavior Covenant

We look to provide a space that is safe physically, emotionally, mentally, and spiritually, so students can know, live and grow in their faith.

Student Guidelines:
Following are the overall guidelines for those participation in confirmation ministry at this church:
Show Respect – for yourself, other students, adults and property.
Come Prepared – bring a pen, Bible , binder, and a good attitude.
Make Your Best Effort – participate in the activities you have chosen.

Student Consequences:
If you choose not to follow these guidelines, your teacher or a supervising adult will choose any of the consequences listed below to deal with a problem, as he or she deems necessary:
1. Give a verbal warning
2. Remove you from class/event
3. Make a phone call for your parents to come and get you
4. Arrange to have you work independently with your parents

Parent Responsibilities:
Know your student’s schedule. Please be prompt when dropping your student off and picking your student up. Please spend time discussing this covenant with your son/daughter as well as your expectations. Your involvement and support are crucial to enable your son or daughter to make the most of this experience.

First Name of Student *
Your answer
Last Name of Student *
Your answer
Student's Grade *
Student's Street Address *
Your answer
City *
Your answer
State *
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Zipcode *
Your answer
Family Email Address *
Your answer
Family Phone Number *
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Student's Date of Birth *
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Student's Place of Birth, City and State *
Your answer
Name of Student's Current School *
Your answer
Name of Church Where Student was Baptized *
Your answer
Address of Church Where Student was Baptized *
Your answer
Student's Gender *
Parent Name(s) *
Your answer
Parent Information *
Are parents members of Nazareth? *
Photo/Video Release: Photographic and Video Recording devices will be used at this event and the images captured could be used for publicity and/or historical purposes in a print or web-based media outlet. *
If parents are members of Nazareth, how many years?
Your answer
Please list any information about the student that may be helpful to the Confirmation teachers and small group leaders (learning difficulties, physical and/or emotional health challenges, family issues, etc.)
Your answer
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