Confirmation Registration 2022-2023

For students 5th grade through 9th grade.

*Students entering their first year in Highschool, will be confirmed in the fall*

Student Name

Parent/Guardian Information

Parent/Guardian Name

Cellphone Number(s)

Parent/Guardian Email Address(es)

This address will receive a confirmation email

Home Phone Number

Do you text?

Yes No

Street Address

Are you a Member of Trinity?

Yes No Interested in becoming a member

Youth Information

Name(s) & Birthdate(s)

Student(s) Age(s) on September 1 of 2021

Student(s)'s Baptism Date(s) (if known)

Grade(s) in Fall of 2021

5th grade 6th grade 7th grade 8th grade 9th grade

Food Allergies or other Health Concerns?

None

Other:

Alternative Learning Needs?

None

Other:

Drop off/ Pick Up

In December of 2021, Trinity's council revised our child safety policies tto include an optional waiver for families who which to bypass the check-out system currently in place. Currently, we require an approved adult to sign each student out of Confirmation. If you would like to waive this safety percuation and allow your child(ren) to sign themselves out, please follow this link to fill out an opt out form HERE or, fill one out at info night 09/07.

If you would like to continue with the parent/guardian physically signing them out, please continue below..

Who can drop off or pick up your child? (REMEMBER TO LIST YOURSELF!) Please note: whoever will be picking your child up will be required to sign them out and be listed here

Additional Information

Note *NOT YOURSELF: In case a parent/guardian cannot be reached*

Emergency Contact Name 1

Emergency Contact Phone 1

Emergency Contact Relationship to Youth 1

Note *NOT YOURSELF: In case a parent/guardian cannot be reached*

Emergency Contact Name 2

Emergency Contact Phone 2

Emergency Contact Relationship to Youth 2

Release Form- Please read and type your full name and date.

I am the parent/legal guardian of the participant(s) listed, and hereby grant my permission for him/her/them to participate fully in Confirmation. I give my permission to: Release this information to the church office, include my child(ren)'s likeness on the church's website, facebook page, etc. I understand that my child(ren)'s name(s) may be used in conjunction with the likeness. In the event of an emergency, and I cannot be reached, I give permission for supervising Trinity staff or the available adult leader to sign forms that would ensure the necessary and immediate treatment of my child(ren). I understand that my typed full name and date is my legally binding signature in terms of this agreement.

Name and date

Amendments or special notes pertaining to the release form If you would like to amend, strike, or make a special note concerning agreements made in the release form, please list that here.

Youth programing can't happen without the help of volunteers. In which areas could you possibly volunteer this year? Small Group Leader Small Group Leader Substitute Field Trip Driver Retreat/Gathering Chaperone Service Trip Chaperone Fundraising Lead

Would your student be interested in singing/playing in the Joy Choir or Worship Band? (check all that apply)

Yes, the Joy Choir (5th/6th graders only) Yes, sing in the Worship Band Yes, play an instrument in the Worship Band No

Do you have a youth who would like to be a Shepherd (youth helper) for our Sunday school program?

Yes No Maybe

Confirmation Registration 2022-2023

Description

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