C3 Confirmation Registration & Pledge Form
Please fill out the form and pledge below to register for St. Luke's Confirmation program. If you have more than one child in confirmation please fill out a form for each of them.
* By registering my child for confirmation, I give permission for photographs/video of my child to be taken and displayed by St. Luke Lutheran Church, and understand that any photographs/videos taken are for exclusive use by St. Luke Lutheran Church.
** By entering your email address below you give us permission to add your name to our email list. (You may unsubscribe at anytime.)
Email address *
Student's Name *
Your answer
Grade (In Fall) *
Your answer
Parents'/Guardians' Names *
Your answer
Address *
Your answer
Parent's Email *
Your answer
Home Phone Number
Your answer
Cell Phone Number *
Your answer
Student's Cell Phone Number (if they have one)
Your answer
May we use the parent cell phone number to send text reminders? *
List Any Food Allergies, Medical Concerns, Special Needs or anything else we should know about your child’s learning style or behavior so we can help make this a positive experience. *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of St. Luke Lutheran Church. Report Abuse