9th Grade Confirmation Registration

Hawley Lutheran Church

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9th Grade Confirmation

* Indicates required field

Student Name *

First

Last

I prefer to be called: *

Do you have a nick name or a name friends call you?

Address *

Line 1

Line 2

City

State

Zip Code

Country

Student Cell Number *

with Text *

Yes No

Student Home Phone Number *

Student Email *

Best time to contact me is *

Cell Phone Home Phone Email

Birthdate *

Baptism Date *

Hawley Lutheran Church Member *

Yes No

Mother's Name *

First

Last

Mother's Cell Number *

with Texting *

Yes No

Home Phone Number *

Mother's Email *

Best time to contact me is *

Cell Phone Home Phone Email

Father's Name *

First

Last

Father's Cell Number *

with Texting *

Yes No

Home Phone Number *

Father's Email *

Best time to contact me is *

Cell Phone Home Phone Email

Parent/Volunteer Help *

Small Group Guide or Sub Servant Events Team Connections Assistance Team Celebration Events Team Driver Youth & Family Committee Where ever needed

List any other experiences you have had working with children/youth. *

If you have checked any Parental/Volunteer Help please answer. If not please fill in with N/A, thanks.

Have you worked with children/youth at another church? *

Yes No

Name/City of church you have worked with children/youth *

Permission for *

I give my child/youth permission to attend offsite Confirmation Servant Events (TBD). I do NOT give my child/youth permission to attend offsite Confirmation Servant Events (TBD). I give permission for pictures of my child/youth to be on the church website/Facebook. I do NOT give permission for pictures of my child/youth to be on the church website/Facebook.

Today's Date *

Submit

Phone: 218-483-3396

Email: hlc@hawleylutheran.org

Hawley Lutheran Church
510 8th Street
PO Box 580
Hawley, MN 56549-0580