
	Lutheran:(loo'th•er-en) n: People who love to laugh, have a good time together & eat hotdish.

	All Saints Mission: In response to God's overwhelming love, we are disciples who PROCLAIM the good news of Jesus Christ, GROW in faith, SERVE with joy.

Youth >

Youth

2010 - 2011
Confirmation Student Information

Student's contact information: *Indicates required fields.
*Student Name:
*Birthdate:
*Baptism Date:
*Grade:
*Street Address:	Apt:
*City:
*State:
*Zip:
*Home Phone:
Student's Email Address:
Student's Cell Phone:

Parent(s) Information:
Mother's Name:
Father's Name:
Parent's mailing address (if different from above)
Street Address:	Apt:
City:
State:
Zip:
Parent's Alternate Phone:
Parent(s) Email Address:

*Which service does your family generally attend? :	Early Service Late Service
Do you have any concerns which you feel is important for us to inform your student's adult leader(s)? :

Please submit this form and mail your $25.00 registration fee before September 1st.