All Saints Lutheran Church
Confirmation Registration 2023-2024
Confirmation Registration form 2023-2024
page 1 of 1
Child's Name *
required
First Name
Last Name
Child's Birthdate (ex. 01/01/2015 Our system requires this information. It will not be shared.) *
required
Child's Grade (entering fall 2023) *
required
Is your child baptized? (Baptism is required before being Confirmed in Spring of 8th grade year.) *
select one
Select from list
select one
Yes, my child has been baptized
No, my child has not been baptized
Baptism Date (if applicable)
required
Has your child received First Communion?
select one
Select from list
Yes, my child has received First Communion
No. my child has not received First Communion
Child's Cell Phone (if applicable)
required
Phone Number
Child's Email (if applicable)
required
Email Address
Food or other allergies (put N/A if none) *
required
Medical/health conditions (put N/A if none) *
required
Learning challenges (put N/A if none) *
required
Mother's Name *
required
First Name
Last Name
Father's Name *
required
First Name
Last Name
Address *
Address
Address Line 2
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Marshall Islands
Micronesia
Northern Marianas
Palau
Puerto Rico
Trust Territories
Virgin Islands
Armed Forces(AA)
Armed Forces(AE)
Armed Forces(AP)
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territory
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
City
State
Zip Code
Mother's Cell Phone *
required
Phone Number
Father's Cell Phone *
required
Phone Number
Mother's Email *
required
Email Address
Father's Email *
required
Email Address
Permission (check one) *
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Select one
I give permission for my child to: attend conf. & small group gatherings, small group guides to transport my child(ren), pics/video taken & used in publications, medical attn sought if nec., do not hold All Saints, staff, volunteers liable for anything.
No, I do not give permission for my child to attend confirmation or agree to the above.
* required
