2022-2023 Bethlehem Confirmation Registration
This registration form is used for the sole purpose of planning, and office record keeping and updating.
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Parent/Guardian Information
If the second parent/guardian information does not apply, please respond with N/A
Parent/Guardian First and Last Name *
Parent/Guardian Address *
ex. (102 W. Junius Ave, Fergus Falls, MN 56537)
Parent/Guardian Phone # *
Please let us know if the number provided is a cell phone ex. (Cell:(218)-867-5309)
Parent/Guardian E-mail Address *
Parent/Guardian Relationship to Student *
Every family is different. This question helps us better understand your family situation.
Parent/Guardian Preferred Method of Contact *
Your answer will help us utilize the best way to send important updates and information. If you choose other, please provide us with the way to reach you. For example include a number if you say a fax is the best way to reach you. ***We cannot guarantee that what you choose will be how we send you information***
Second Parent/Guardian First and Last Name (if applicable)
Second Parent/Guardian Address
ex. (102 W. Junius Ave, Fergus Falls, MN 56537)
Second Parent/Guardian Phone #
Please let us know if the number provided is a cell phone ex. (Cell:(218)-867-5309)
Second Parent/Guardian E-mail Address
Second Parent/Guardian Relationship to Child
Every family is different. This question helps us better understand your family situation.
Clear selection
Second Parent/Guardian Preferred Method of Contact
Your answer will help us utilize the best way to send important updates and information. If you choose other, please provide us with the way to reach you. For example include a number if you say a fax is the best way to reach you. ***We cannot guarantee that what you choose will be how we send you information***
Clear selection
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