Teen Confirmation Registration Form
Please use this form to register your teen for Newman Hall's Teen Confirmation Program in Berkeley, CA. 
If you have any questions, please email Camilla San Juan at sugarcookiecamilla@gmail.com.
Registration fee is $50 per child (No one will be turned away for not paying).
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Teen 1 Full Name: *
Is this your teen's first year or second year? *
Age *
Phone Number *
Teen 2 Full Name
Is this your teen's first year or second year?
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Age
Phone Number
Teen 3 Full Name
Is this your teen's first year or second year?
Clear selection
Phone Number
Age
Parent/Guardian 1 Full Name *
Relationship with student
Clear selection
Phone Number
Email
Parent/Guardian 2 Full Name
Phone Number
Email
Relationship with student
Clear selection
Do any of your teens have any allergies? (Food, pets, etc.)
Payment can be made through Zelle (650-773-5989), Venmo (Newman-Hall), or Check (to Newman Hall Holy Spirit Parish)
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Submit
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