Confirmation Registration - 2020-2021
ELC of Mt Horeb Registration - Grades 7 & 8

Please submit $30 for confirmation materials, payable on our website (ELCMTHOREB.ORG) or mailing donation to our church, 315 E Main St. Mt Horeb. (Please add $1.00 for processing fees, if paying online.)

Brenda Martin, Youth Ministries Director                   Email: brenda.martin@elmthoreb.org
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Student's Name *
Student's Date of Birth *
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Student's Baptismal Date
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Student's Home Address *
Student's Home Phone *
Student's Email Address *
Student's Cell Phone *
Family Email Address (Emails are sent to Family and Student Email, unless you specify differently) *
PHOTO CONSENT:  We give Evangelical Lutheran Church of Mount Horeb (ELC) permission to use photos or videos of myself and/or my minor children in its promotional materials. I understand that examples of use include ELC’s social media accounts; digital media, including the ELC website and email marketing; and any other forms of marketing that ELC finds useful. I release ELC, its agents, its staff and the photographer from liability for violation of any personal or proprietary right I may have in connection with such use. *
My student will be participating in Confirmation by: *
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