Spring 2022 Youth Confirmation Registration

Spring 2022 Youth Confirmation Registration

This form is being used to gather information on students interested in being confirmed in October 2022. The exact date is forthcoming! There will be a parent and youth information session on Sunday, February 6th at 4pm on Zoom.
Student Name

First NameLast Name
Goes by
Student Email Address
example@example.com
Student Cell Phone Number (if Applicable)

Area CodePhone Number
Parent/Guardian #1 Name

First NameLast Name
Parent/Guardian #1 Email Address
Parent/Guardian #1 Mobile Phone Number

Area CodePhone Number
Parent/Guardian #1 Other Phone Number

Area CodePhone Number
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Email Address
example@example.com
Parent/Guardian #2 Mobile Phone Number

Area CodePhone Number
Parent/Guardian #2 Other Phone Number

Area CodePhone Number
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student's Date of Birth

MonthDayYear
Baptized?
Pronouns
Grade in School
School Attending:
For the Participant: Write at least one question you have about God, yourself, the church, the world, or other people that you would be interested in discussing during confirmation.
Should be Empty: