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Lord of Life Confirmation Registration
2022-2023 Program Year
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Email Address
*
Your answer
Student Cell Phone Number
Your answer
Student will be starting year # (If choosing #2, all work must be completed from last year)
*
First Year
Second year (all work from last year is finished)
Third year (Ninth graders)
Year in school
*
7
8
9
Other:
School Attending
*
Your answer
First Parent Name and address
*
Your answer
Best email to reach you
*
Your answer
Best phone number to reach you
*
Your answer
Second Parent Name and address
Your answer
Best email to reach you
Your answer
Best phone number to reach you
Your answer
Has the student been baptized?
*
Yes
No
Where (church name) and when was the baptism?
Your answer
Has your child received Communion instruction and celebrated their first communion?
*
Yes
No
Are there any special needs or concerns that we should know about? (Behavior, learning difficulties, food allergies, etc.)This will be kept confidential and will help us assist your child.
Your answer
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