Confirmation Registration

YOUTH INFORMATION (Youth #1)

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First Name

Last Name

Male Female

Grade (in August '09)

School

Birth Date (MM/DD/YY)

T-Shirt Size

Please provide date, or indicate if youth still needs to fulfill either the Sacrament of Baptism or First Communion:

Baptism Date (MM/DD/YY)

OR type "no" if unfulfulled

First Communion Date (MM/DD/YY)

OR type "no" if unfulfilled

Name and Ages of Siblings

Allergies/Special Information about Youth

If possible, I would like my youth to be in a small group with

Youth is a returning Confirmation member.

Youth Guide is

YOUTH INFORMATION (Youth #2)

Click to open or close this box.

First Name

Last Name

Male Female

Grade (in August '09)

School

Birth Date (MM/DD/YY)

T-Shirt Size

Please provide date, or indicate if youth still needs to fulfill either the Sacrament of Baptism or First Communion:

Baptism Date (MM/DD/YY)

OR type "no" if unfulfulled

First Communion Date (MM/DD/YY)

OR type "no" if unfulfulled

Name and Ages of Siblings

Allergies/Special Information about Youth

If possible, I would like my youth to be in a small group with

Youth is a returning Confirmation member.

Youth Guide is

HOUSEHOLD and PARENT/GUARDIAN INFORMATION

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	Street Address
	City	State	Zip
	Home Phone
Father's Name
	Email	Home Phone (if different from above)		Cell Phone
	Receive Youth Ministry Newsletter via email Yes, I want to be an Impact Adult (see my choices below)
Mother's Name
	Email	Home Phone (if different from above)		Cell Phone
	Receive Youth Ministry Newsletter via email Yes, I want to be an Impact Adult (see my choices below)
BE IN IMPACT ADULT! Youth involvement and spiritual growth are largely dependent upon our volunteers! I will help as indicted below...
	Be a Confirmation Guide		Easter Breakfast
	Substitute Guide		Annual Mission Trip
	Event Planning/Coordinating		Participate as a chaperone on retreats or other activities
	Volunteer Coordinator		Be a driver for retreats or summer camp activities
	Service Project Team		Help with clerical work/data entry
	Registration		Help with Computer/Sound Board during events
	Planning Team		Other