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Confirmation Registration 2023-2024
Thank you for registering for the 2023-24 Confirmation year.
Questions? Contact DCE Linaya at linaya@christlittlerock.com
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Email
*
Your email
STUDENT INFORMATION
Student's Full Name: (First, Last)
*
Your answer
Student's Birth Date
*
MM
/
DD
/
YYYY
Student's Grade (Fall 2023-Spring 2024)
*
Your answer
School
*
Your answer
Student's Cell Phone
Your answer
Student's Email
Your answer
Member of Christ Little Rock?
*
Yes
No
Required
Has your student been baptized?
*
Yes
No
Date of Baptism
MM
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DD
/
YYYY
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