Confirmation

Confirmation Sign Up

Name*
First Last
Address*
Street Address City State ZIP / Postal Code
Birthday*
MM slash DD slash YYYY
Have you been baptized in the Name of the Father, Son, and Holy Spirit?*
- Yes
- No
Baptismal Date
MM slash DD slash YYYY
Grade Level*
Current School*
Parent Name*
First Last
Parent's Church Membership (ex. Peace Lutheran)*
Parent Name
First Last
Parent's Church Membership (ex. Peace Lutheran)
Parent Email*
Parent Phone Number*
Names and Ages of Siblings