Confirmation Class Registration
Please fill out this form and click submit.
Confirmation Class Registration
Student Info
Name
*
Address
*
--
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
Grade
*
Please select one option.
7th
8th
9th
Other
Select Option
7th
8th
9th
Other
Birthdate
*
Age
*
May we use your child's photograph or work to appear in any form of use to help promote Resurrection Church?
*
Please select one option.
Yes
No
Parent/Guardian Info
Parent/Guardian Name
*
Phone
*
May we send you text messages?
*
Please select one option.
Yes
No
Email
*
This address will receive a confirmation email
Consent
I, the parent/guardian listed above, give permission for my child (student name listed on form above) to attend Confirmation at Resurrection United Methodist Church of Hastings.
Please initial below. Your initials represent your authorized signature for consent purposes on this form.
*
Today's Date
*
Questions/Comments?
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following