2021-2022 Grace Church Youth Confirmation Registration Form
Please complete the following electron form PRIOR to Sunday, September 19th 2020 - Thank You
Student's Full Name (First, Middle, and Last): *
Student's Preferred Name (Nickname):
Student's Email Address (NOT PARENTS, will be used for Confirmation Group Emails): *
Student's Cell/Mobile Phone (NOT PARENTS, will be used for Confirmation Group Texts) *
Student's USPS Mailing Address: *
Student's Date of Birth: *
Student's Place of Birth (City and State) *
Student's Academic Grade Level (Must be at least 8th): *
Where does the Student attend school? *
Has the Student received the Sacrament of Christian Baptism? *
If YES, when was the baptism performed?
Where was the baptism performed (Please list: Church Name, Church Denomination, City, and State) ?
How long (years) has the student attended Grace Episcopal Church?
What activities is the Student involved in at Grace (choir, acolyte, lector, etc. - if none, type "None") *
In non pandemic times; when does the Student (most often) attend Mass at Grace? *
Student's Favorite Breakfast Food? *
Student's Favorite Dessert? *
Student's Favorite Color? *
Student's Favorite Movie? *
Student's Favorite Book? *
Student's Favorite Song? *
Does the Student have any allergies or medical conditions which Grace Church and the Confirmation Team should be aware of? (If, yes, please list them in detail) *
Will the student have access to virtual meeting capabilities (computer with camera, internet, quite space, etc.); some classes will likely be on ZOOM. *
Guardian/Parent's Name(s) *
Phone Number for Guardian/Parent Contact: *
Guardian/Parent's Email Address: *
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