Confirmation Registration 2022-2023
Rally Sunday: September 12th
Rally Wednesday: September 15th
ALL Confirmation students will now need to attend on Wednesday Nights. We are no longer offering a Confirmation class on Sundays.
Class will start at 6:30pm and end at 7:30pm.
Please plan to attend worship at 6:00pm before class.
Student Name
*
Grade 22'-23'
*
Please select one option.
6th
7th
8th
Birthday (mm/dd/yyyy)
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Student Cell (if applicable) - I will be sending reminders via text to youth throughout the year.
Parent/Guardian 1
*
Parent/Guardian 1 - Phone Number
*
Parent/Guardian 1 - Email Address
*
Parent/Guardian 2
Parent/Guardian 2 - Phone Number
Parent/Guardian 2 - Email Address
Any special needs, allergies, dietary restrictions, or medical conditions we should be aware of?
*
Please select one option.
Yes
No
If yes, please explain below:
Emergency Contact (if parents aren't available)
*
Emergency Contact Phone Number
*
Parent Volunteer Opportunities (please check all that apply)
*
Please select all that apply.
Substitute Small Group Leader
Assist in Large Group Activities/Service Projects
Chaperone Retreats/Events
Help Prepare Communion Before Wednesday Worship
Photo Release: Do you grant FLC permission to photograph and to use any or all such photographs (without names) as part of any published products, advertising or displays in any and all media including social media for FLC?
*
Please select one option.
Yes
No
Submit
Description
Rally Sunday: September 12th
Rally Wednesday: September 15th
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