High School Confirmation Registration 2026-27

High School Confirmation 2026-27

Teen Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Please fill out this field.

Grade in Fall 2026 REQUIRED Please fill out this field.

School Attending REQUIRED Please fill out this field. Please enter valid data.

Parent Information

Father's Name REQUIRED Please fill out this field. Please enter valid data.

Father's Cell Phone REQUIRED Please fill out this field. Please enter valid data.

Mother's Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Cell Phone REQUIRED Please fill out this field. Please enter valid data.

Primary Residence REQUIRED Both Father Mother Please fill out this field.

Best Email Address for Contact REQUIRED Please fill out this field. Please enter valid data.

Best Cell Phone Number for Contact REQUIRED Please fill out this field. Please enter valid data.

I am open to volunteering in the following ways: REQUIRED Adult Core Team (Weekly Youth Group Volunteer) Donate Food Chaperone an Event Chaperone a Retreat Please fill out this field.