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Confirmation Registration

Please fill out and submit the form below to register for the next Sterling UMC Confirmation Class. The Confirmation Class begins in September and runs through May. Registration deadline is September 30. For more information or if you have questions, please contact the church office at or .

Personal Information

First Name *
Middle Name
Last Name *
Preferred Name Student's preferred name (nickname, etc.).
Home Phone *Student's home phone.
Cell Phone Student's (or parent's) cell phone.
Email *Student's (or parent's) email address.
Address *
Student's mailing address.Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Birthdate *Student's birthdate.
Grade *Student's grade in school.
Mother or Legal Guardian's Name *
Father or Legal Guardian's Name *

Medical Information

Allergies/Medical Conditions
Please describe any allergies or medical conditions the student has.
Emergency Contact Name Please provide the name of an emergency contact to be called if the parents/guardians are unavailable.
Emergency Contact Phone Please provide the phone number for the emergency contact.

Additional Information

Baptism Information *
Has the student been baptized?YesNo
Baptism Date "Year only" is fine.
Baptism Location Name of church, city, and state.
Sponsor Requests
Please select three (3) adult church members who you would like to have considered as your confirmation sponsor. Sponsors cannot be immediate family members. Katie will contact the potential sponsors.
Sponsor Request 1 *
Sponsor Request 2 *
Sponsor Request 3 *

Verification

Please enter any two digits. *Example: 12.
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Confirmation Registration

Personal Information

Medical Information

Additional Information

Verification

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