2017-2018 Holy Cross Confirmation Registration
Registration Fee: $70.00 for 7th Grade and $70.00 for 8th Grade
Financial aid is available by contacting Amanda Juedes at 262-251-2740 ext. 236 or email at amandaj@holycrosslutheran.org

Registration fees cover: curriculum material, office printing and mailing, audio/visual/technology resources, food, picture expenses & offsets the cost of retreats.
*
Your answer
*
Your answer
Student's Grade *
Gender
*
MM
/
DD
/
YYYY
Your answer
*
Your answer
Nickname
Your answer
Baptized? *
If Baptized, what was the date of baptism
MM
/
DD
/
YYYY
Has student received First Communion instruction?
Student Email Address
Please share if student has email, important for weekly recap and communication
Your answer
Allergies or Special Medical or Health Needs? *
If checked yes for allergies or special medical notes, please explain
Your answer
Parent/Guardian/Caregiver Information
Name(s) *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Family Email Address *
Your answer
Home Phone Number
Your answer
Cell Phone
Your answer
Work Phone Number
Please supply only if you can receive calls at work
Your answer
Are you members of Holy Cross Lutheran Church *
If you are not members, where is your home church?
Your answer
Student lives with
Parent Volunteer Interest
There are lots of ways you as parents can make Student Ministry Nights and Confirmation a great ministry of the church. Please check the boxes that are of interest to you and we will contact you to plug you in!
I can help with . . .
Submit
Never submit passwords through Google Forms.
This form was created inside of Holy Cross Lutheran Church. Report Abuse - Terms of Service