Confirmation Class Registration-2021-2022
*Please fill out this form to register your child for Confirmation. Please fill out a separate form for each child. Thank you!
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Student's First Name *
Student's Last Name *
Student's Date of Birth *
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Home Address *
Grade in School as of September 2021 *
Parent's First and Last Names *
Mother's Email Address *
Father's Email Address
Mother's Cell Phone Number *
Father's Cell Phone Number
Student's Email Address
Student's Cell Phone Number
Are you a member of St. Luke Lutheran church? *Please note: You don't need to be a member to have your child attend Confirmation. *
Does your child have any special needs? If so, please explain.
Does your child have any food allergies? If so, please explain.
I understand and will follow all safety protocols that St. Luke has put in place which includes keeping my child home if they aren't feeling well. *
I, as the parent, understand the expectations of the St. Luke Confirmation Program and will support my child's participation in this program, as the church seeks to assist the home in the Christian education of my child.  I realize that all expectations must be met in order to go through the Rite of Confirmation. *
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