Prince of Peace Lutheran Church

2019-20 Confirmation Class Registration

Please complete sections to the best of your ability, items marked with an * are required; if you have questions, please contact Brigetta at 739-5255. Please pre-register by Sept. 7th as classes begin September 12thpage 1 of 1

YOUTH SECTION: Please use a separate form for each child you are registering


First Name Last Name


Phone Number
Address
Address Line 2
City State Zip Code




Select one
6th
7th
8th
9th
Do not know / have not attended here before
Select one
Yes
No
He/she would be interested in receiving membership information


First Name Last Name
Phone Number
Email Address
Select one
Yes
No
I/We are interested in receiving membership information

Select one
Yes
No
Select one
Yes
No
Maybe- Would like more information
Select one
weekly
bi-weekly
Select one
Yes
No
Maybe
Select one
Yes
No
Maybe

Select one
Yes
No


* required