Student Confirmation Registration and Payment Form

Student Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Student "Goes By" Name
Gender*
Current Grade
School
Birth Date*

MonthDayYear
Church of Student Baptism
City, State of Baptism
Date of Baptism

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Email
example@example.com
Student Phone

Area CodePhone Number
May we text your student?

YesNo
Parent Name

First NameLast Name
Parent E-mail*
Parent Cell Phone*

Area CodePhone Number
Home Number

Area CodePhone Number
I am a member of St. Martin's in good standing

YesNoCurrently in Membership Classes
Cost of Confirmation for 2025-26 is $300.

Please make your payment below.

My Products*

Confirmation Registration$300.00

Total $0.00

Credit Card

Apple Pay

Google Pay

Student Registration Form