Confirmation Registration Confirmation Registration Student's First Name*Last Name*Grade In September*Address*City*State*Zip Code*Home PhoneStudent Cell #Student Email* Parent 1 Name*Primary Contact*YesNoCell #*Email* Parent 2 NamePrimary ContactYesNoCell #Email Occasionally the staff has some "food for thought" to share with the students mid week and are happy to text or email these to the students.*I would like my student to receive occasional communication directly from the ministry staff.I prefer all communication with my student come directly through me.Allergies/Health ConcernsStudent Has Been Baptized*YesNoStudent Has Taken 1st Communicion Class*YesNoIf yes, where?Parent Signature*Please type your name to acknowledge you filled out this form.Date*
