Hope Lutheran Church Youth Ministry Registration/Waiver 2018-2019
STUDENT INFORMATION
Student's Full Name: (First, Last) *
Your answer
Student's Birth Date *
MM
/
DD
/
YYYY
Student's Grade (2018/ 2019) *
Your answer
School *
Your answer
Student's Track *
Home Address *
Your answer
Student's Cell Phone
Your answer
Student's Email
Your answer
Member of Hope Lutheran? *
Required
Has your student been baptized? *
Date of Baptism
MM
/
DD
/
YYYY
Has your student been Confirmed? *
Date of Confirmation
MM
/
DD
/
YYYY
Next
Never submit passwords through Google Forms.
This form was created inside of Concordia University, Irvine. Report Abuse - Terms of Service