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Confirmation Registration
Registration for joint House of Prayer and Woodlake Confirmation Program
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* Indicates required question
Youth First Name
*
Your answer
Youth Last Name
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Your answer
Parent or Guardian Name (first and last) #1
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Your answer
Parent or Guardian Name (first and last) #2
Your answer
Emergency Contact 1: Name, Phone
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Your answer
Emergency Contact 2: Name, Phone
*
Your answer
Home Address
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Your answer
Primary email
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Your answer
Do any of your children have any allergies, medical concerns, behavioral concerns, or anything else you want us to know for the year? If nothing answer N/A
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Your answer
By checking this box, I give Woodlake Lutheran Church / House of Prayer Lutheran Church the permission to photograph my child and use his or her picture solely for the church’s website or Facebook page.
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Yes, I give permission for my son/daughter to be photographed
No, I DO NOT give permission for my son/daughter to be photographed
Required
What school does your son/daughter attend?
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Your answer
Please let us know what after school activities your son or daughter participates in. We'd love to cheer them on!
Your answer
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