Confirmation Registration 2024-25

Confirmand's Name (first and middle in first box please)

First Name

Last Name

Confirmand's Cell Phone

(###)

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Confirmand's Email

Confirmand's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Cell Phone

(###)

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Any Allergies or Medical Notifications for Your Confirmand We Need to Know

Checkbox

Okay for Photo and Video Release for LCHope Ministries

No Photos or Video for LCHope Use