Spring 2022 Youth Confirmation Registration

Spring 2023 Youth Confirmation Registration

This form is being used to gather information on students interested in being confirmed on May 21, 2023.
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?*

YesNoNot sure
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:

Spring 2023 Youth Confirmation Registration