Confirmation Registration
Confirmation meets every Wednesday from 6-7pm and Sunday mornings from 9:30 - 10:30am
August 30th - May 2rd
Youth Information
First Name (youth)
Your answer
Last Name (youth)
Your answer
Gender
Required
Address
Your answer
Student Cell Phone (if applicable, type N/A if not)
Your answer
Birthday (student)
MM
/
DD
/
YYYY
Dietary restrictions
T-shirt size
Parent/Guardian information
Parent/Guardian #1 First & Last Name
Your answer
Address
Your answer
Cell Phone
Your answer
Parent/Guardian #2 First & Last Name
Your answer
Address if different
Your answer
Cell Phone
Your answer
Emergency Contact (other than parents)
Your answer
Cell Phone
Your answer
Are you (Parent/Guardian) willing to chaperon events?
Photo/video consent
By selecting "Yes" below, you consent to allowing the above named youth to be photographed and/or video-recorded. Allowing the resultant photos and/or videos to be posted on any or all of Grace Lutheran Church's websites or social media pages (i.e., Facebook, Twitter, Instagram, etc.).
Select 1
Submit
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