Confirmation Registration 2024-2025
Calvary Lutheran Church of Rapid River, MI and First Lutheran Church of Gladstone, MI
Student's Name
*
First and Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Address (optional)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Main Phone Number
*
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Can we communicate via text?
Please Select
Yes
No
Email
*
example@example.com
Parent/Guardian Name
First Name
Last Name
Main Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Can we communicate via text?
Please Select
Yes
No
Email
example@example.com
Student Information
Age
*
Grade
*
Birthday
*
-
Month
-
Day
Year
Date
Baptismal Date
-
Month
-
Day
Year
Date
School
Student Cell Phone Number (optional)
Please enter a valid phone number. Only give us this number if the student texts on their cell phone and you would like them to receive reminders throughout the year.
Mother's Name
Father's Name
In case of emergency, contact
name
*
at
phone number
*
.
relationship to child
*
Allergies or other medical conditions
Special needs or concerns
I grant permission for First Lutheran Church to use photos, videos, or other likeness of the above child for publicity in print or digital form, including the use of social media such as, but not limited to, Facebook, Instagram, and Twitter. First Lutheran Church will not include any identifying information about your child.
To grant or deny permission select "yes" or "no" below.
*
Please Select
Yes
No
Signature
*
Submit
Submit
Should be Empty: