Confirmation Registration 2021-22

Trinity Lutheran Church

TRINITY LUTHERAN CHURCH 2022-23
CONFIRMATION REGISTRATION FORM
6th thru 9th Grade
September 2022 - May 2023
For more information about Confirmation click HERE

* Indicates required field

Student's Name 1 *

First

Last

Gender *

Birthdate *

Grade in 2021-22 *

Baptism date *

Student 1 - allergies (esp. food) *

Student 1 Email *

Student 1 Phone # *

phone receives texts? *

Yes No

Student's Name 2 *

First

Last

Gender *

Birthdate *

Grade in 2021-22 *

Baptism date *

Student 2 - allergies (esp. food) *

Student 2 Email *

Student 2 Phone # *

phone receives texts? *

Yes No

Student's Name 3 *

First

Last

Gender *

Birthdate *

Grade in 2021-22 *

Baptism date *

Student 3 - allergies (esp. food) *

Student 3 Email *

Student 3 Phone # *

phone receives texts? *

Yes No

Student's Name 4 *

First

Last

Gender *

Birthdate *

Grade in 2021-22 *

Baptism date *

Student 4 - allergies (esp. food) *

Student 4 Email *

Student 4 Phone # *

phone receives texts? *

Yes No

Parent or Guardian Name(s) *

First

Last

Street Address, City, State & Zip Code *

Special needs / other information teachers/staff should be aware of *

Parent email address *

Parent 1 Phone # *

Parent 2 Phone # *

Parent 1 phone receives texts? *

Yes No

Parent 2 phone receives texts? *

Yes No

Home/Other Phone # *

Emergency Contact *

First

Last

Phone Number *

Alt. Phone Number *

Relationship to child(ren) *

Address *

Service projects and fellowship activities will be taking place throughout the year. I give permission for my child to be transported to and attend these activities. *

Yes No

I give permission for any pictures of my child to be used for Trinity's publicity *

Yes No

SUBMIT