Youth Confirmation Registration 2012

Most of our communication is done via email. If you are not comfortable with this, please contact Katie Humphries (703-661-5660, ext. 102) with an alternate means of sharing information with you and your youth.

Student Information

  Full Name of Youth 

  Prefers to be Called 

  Grade       School

  Email address

  Youth cell phone

  T-shirt size

  Has your child been baptized?     Yes     No

Family Information
Please provide the two primary family points of contact for your child. These persons will receive all communication regarding the confirmation process.

  Person 1

    Name

    Relationship

    Email

    Phone

  Person 2

    Name 

    Relationship 

    Email

    Phone


Volunteer

  I can help drive to the retreat          Yes  No

  I can help pick up from the retreat    Yes  No