2026-2027 Confirmation and Youth Group Registration

Parent/Guardian Information

Parent/Guardian #1 Name

Parent/Guardian #1 Email

This address will receive a confirmation email

Parent/Guardian #1 Phone

Parent/Guardian #2 Name

Parent/Guardian #2 Email

This address will receive a confirmation email

Parent/Guardian #2 Phone

Address

Child(ren)/Youth Information

School District

Child/Youth #1 Name

Child/Youth #1 Birthdate

Grade/Age for Fall 2026 #1

Child #1 Allergies, special needs, medical conditions, etc.:

Child/Youth #2 Name

Child/Youth #2 Birthdate

Grade for Fall 2026 Child #2

Child #2 Allergies, special needs, medical conditions, etc.:

Child/Youth #3

Child/Youth #3 Birthdate

Grade for Fall 2026 #3

Child #3 Allergies, special needs, medical conditions, etc.:

Emergency Contact

Emergency Contact Name (other than parent)

Emergency Contact relationship to child(ren)

Emergency Contact Phone Number

Volunteering

I am able to volunteer with Sunday School.

I am able to volunteer with Confirmation.

I am able to volunteer with Youth Group.

Acknowledgements, Permissions, & Medical Release

I give Family of Christ permission to take photography and/or video of my child(ren) while participating in church activities, and use photos/videos for promoting Family of Christ programs.

Yes No

I grant permission to Family of Christ Lutheran Church personnel to seek emergency medical treatment for my child(ren) should it be needed. I understand they will make every reasonable effort to contact me or the emergency contact I provide on this form.

Yes No

I release all Liability

Yes No

I agree to all of the above and therefore sign this form.

Yes No

Any comments, suggestions, or other information we should know.

2026-2027 Confirmation and Youth Group Registration

Description

Please Fix the Following