Sign-Up Form

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Sign-Up Form

Welcome!
We are super excited about our confirmation process.
We have tried to make the journey as user-friendly as possible, but it also requires seriousness and commitment.
Please fill out the fields below and submit the form.
(Please note that your information is being collected, stored and used in line with Emmanuel's POPIA policy and that by submitting this form, you are granting us permission to use your information accordingly.)

Surname *

First, second and all other names (Put your preferred name in brackets) *

Cell# (Please give a number that is on whatsapp if possible...) *

Commitment

By ticking this box I commit to attending the confirmation program with seriousness and diligence. I furthermore that I understand that I may not miss more than 3 Sunday morning sessions and that the sleepover is compulsory. I also commit to attending the Sunday afternoon sessions which will be arranged in consultation with myself and the rest of the group. I also acknowledge that I will be interviewed at the end of the course and may be advised not to continue with being confirmed and I commit to accepting such advice.

My Commitment *

YES

Required

Date of Birth *

YYYY

My Parents' names *

My Parent's Contact Numbers *

My School *

Thank you

You should acknowledgement of your Sign-up within 4 days. If this does not occur, please contact Theo

Submit

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