Confirmation Class Registration Form
Please register your youth for this class if they are between the ages of 11 and 14 and have not yet been confirmed. Confirmation will start Feburary 12, 2012 and will conclude on April 1, 2012. It will start at 8:30 a.m. each morning and conclude at 9:50 a.m. The teachers are Helen Grape and Derek Frederick.
youth's first name *
Your answer
youth's name *
Your answer
*
Parent's and Guardian's Information
first name *
Your answer
last name *
Your answer
email *
Your answer
phone number *
Your answer
address line 1 *
Your answer
address line 2
Your answer
city *
Your answer
state *
Your answer
zip *
Your answer
the best way to reach you *
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