Prince of Peace Lutheran Church

2020-21 Confirmation Class Registration-

Please complete sections to the best of your ability, items marked with an * are required.Please contact Brigetta @ bwingender@popappleton.org with questions.Please pre-register by 9/15/20.Parent Orientation is 9/16/20 & Classes begin 9/23/20.page 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 from list
Select from list
Select one
Yes
No
Maybe- Would like more information
Select one
weekly
bi-weekly
Substitute
Select one
Yes
No
Maybe
Select one
Yes
No
Maybe

Select one
Yes
No


* required