Confirmation Registration | Resurrection Lutheran Church

Student 1 Name

First Middle Last

Student 1 Phone (if applicable)

Birthdate

School

Grade 20-21

Student 2 Name

First Middle Last

Student 2 Phone (if applicable)

Birthdate

School

Grade 20-21

My student is baptized
My student has received Holy Communion instruction
I authorize adult youth leaders and staff at Resurrection to communicate program related content with my student(s) via their cell phone
I authorize Resurrection to use photos/videos that include my child(ren) in church publications including but not limited to the e-letter, website, YouTube, Instagram and Facebook.

Registering for:

Online only
Hybrid

Notes regarding special needs, allergies and helpful information to know when relating to or working with your student(s):

Parent Name 1*

First Last

Parent Name 2*

First Last

Email Parent 1

Email Parent 2

Phone Parent 1

Phone Parent 2

Address 1

Street Address City State ZIP Code

Address 2 (if different)

Street Address City State ZIP Code

Student 1 - I have read and agree to the above guidelines and I realize that any violation may result in disciplinary action.
Student 2 - I have read and agree to the above guidelines and I realize that any violation may result in disciplinary action.

As a participant in church activities, I will behave in ways that are pleasing to God and consider the ways my behavior affects those around me. I will honor the following guidelines and expectations: - I understand that I am part of a Christian community -I will treat others with respect -I will respect the directions of adult leaders -I will represent Resurrection in an appropriate manner in person and online -I will respect the property of others, including all program facilities and property - I will not brings or use any tobacco, alcohol or controlled illegal substances - I will not engage in inappropriate physical conduct - I will not engage in inappropriate behavior on Zoom and other social media platforms

Registration/materials fee

Price: $15.00 Quantity:

Our registration/materials fee for the school year is $15 per student. Please pay as you are able; funds are available for anyone unable to pay.

Please indicate method of payment

Check to Resurrection Lutheran Church
Online via PayPal

Total

$0.00

Confirmation Registration 2020-2021