Confirmation Registration Confirmation Registration Student's First Name* Pronouns Last Name* Grade In September* Address* City* State* Zip Code* Home PhoneStudent Cell #Student Email* Parent 1 Name* Primary Contact* Yes No Cell #*Email* Parent 2 Name Primary Contact Yes No Cell #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 Concerns Student Has Been Baptized* Yes No Student Has Taken 1st Communion Class* Yes No If yes, where? Parent Signature* Please type your name to acknowledge you filled out this form.Date* MM slash DD slash YYYY
