Confirmation Registration

Confirmand Info

Include email if confirmand wishes to be included in messages to parents/guardians about trips, assignments, etc.

Confirmand's Name

Confirmand's Email

Date of Birth

Address

Parent/Guardian Info

Parent's Name(s)

Parent's Email(s)

This address will receive a confirmation email

Phone

Would you like to receive updates via text? Yes No

Emergency Contact

What is the best number to reach you in the event of an emergency? (If different from number listed above)

Emergency Contact Number

Food Allergies and Special Accommodations

Please list any food allergies or special accommodations for the confirmand.

Description

Please fill out this form and click submit.