Confirmation Registration Sheet 2022-2023

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FIRST LUTHERAN CHURCH – Manchester, IOWA

Confirmation REGISTRATION FORM

Email *

Student's Full Name *

Date of Birth *

YYYY

Male or Female *

Mailing Address *

Parent's or Guardian's name *

Home Phone *

Cell Phone *

Email *

Emergency Contact name and Phone *

Allergies *

Restrictions *

From time to time, photos may be taken of the students of our church during various activities. Some of these photos may be included in the Lamplighter newsletter, bulletin boards, website, or Facebook of the church. Specific students will not be identified in the photos unless approved by parents of those students. These guidelines will be followed in order to protect the identity of those in the photos.

If you prefer that your student NOT be included in these photos

If you prefer that your child NOT be identified

If you are cool with photos and media being use that might include your child

What are the top two methods of communicating with you? (i.e. - cell phone call, text, Facebook, snail-mail, e-mail, etc.)

Please indicate how you would like to be communicated with so that we can let you know about acolyte schedules, messages etc.

Anything else Pastor Tony needs to know? *

A copy of your responses will be emailed to the address you provided.

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