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Carmel Lutheran Church

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Junior High

Confirmation Registration for 2012/2013

Posted 05/24/2012

Confirmation Registration

Youth First Name *

Youth Last Name *

School *

Parent Name #1 *

Parent Name #2

Home Address *

Best Phone # to be reached at *

Best Email for Confirmation info. *

2nd Email (Optional)

Grade Entering *

If registering a 7th Grader, please complete the following

Fill in the names of four students for your child's Confirmation group. We ensure at least one choice will be paired up - If you are unsure of names, fill in what you can and talk with Kaitlin Bauer if have concerns.

Student #1

Student #2

Student #3

Student #4

Important info. regarding your child (learning needs, family concerns)