Student Information s6

Office Use Only: Confirmation Registration $25 registration fee received ___ 2015-2016 Check no. ______Student Information: Name ______Sex M / F Home Address ______City ______State ______Zip ______Home Phone ______Cell (student’s) ______Student email: ______Please check the following: ______I can receive text messages about Confirmation and other youth events.

Birth date ______Grade 6 7 8 9 Parent Information: Parent(s)/Guardian Names ______Address (if different than students) ______City ______State ______Zip ______Home phone ______Cell (parent’s) ______Parent’s email: ______* * * What school do you attend? ______Student’s hobbies and interests: (Please include the name of any organizations in which you participate ex. Red River Soccer, Just for Kicks, etc.) ______Tell us about your musical talents: _____ Sing _____ Play Guitar _____ Drums _____ Piano/Keyboard Other: ______6th Graders:

PleaseParents, list a1-2 note other about students our websitefrom your: In church order toclass “promote” that you andwould share like church to be inyouth your activities, small group. we (We would like towill post do pictures our best of to youth make activities sure you andare pairedevents withthat happenat least hereone ofat theseMessiah. people. We need to ______have your permission in order to post any pictures of the youth______group that your child may appear in. Please indicate below if you give Messiah Evangelical Lutheran Church this permission or not.

_____ Yes! I give Messiah Evangelical Lutheran Church permission to post pictures of my student on the church website.

_____ NO! Please do not post pictures of my student on the church website. Students: Please check the activities below that you feel would help you learn best and are important to a fun and meaningful Confirmation experience!

_____ Music/Worship _____ Video/ Music clips _____ Skits _____ Small group mentors _____ PowerPoint presentations _____ “Field Trips” _____ Games/ Active Activities _____ Guest speakers _____ (Please list any ideas you have that would make confirmation engaging and significant.) ______Parents: In an effort to strengthen the relationship between youth and families at Messiah, please check/list below the areas in which our household would be willing to serve during the confirmation year. (Please check all that apply. We ask that all families select at least 1 item- more are appreciated.) Thank you for your help and dedication!

Confirmation: _____ be a guide for a group of 4-6 youth for the duration of their confirmation experience (3 years) _____ Provide musical talents for worship at Confirmation _____ be a guest speaker for the message at Confirmation on Wednesday nights

Fun Nights: _____ 6-8 Grade Friday Fun Nights (7-10 PM) Oct 9th, Nov 13th, Dec 11th;

EaND Castaway Confirmation Retreat- September 18-20, Sr. High September 25-27. _____ Come along as an adult leader for the weekend- all meals and lodging provided. _____ Male _____Female _____ Provide transportation to and from the retreat (Detroit Lakes, MN)

Homeless & Hungry- October 3-4, 2015 _____ More information to follow

By signing this registration form, we as a family, agree to be partners in this Confirmation ministry through regular attendance and appropriate, respectful behavior on Wednesday nights (students), active participation and volunteering in the above mentioned areas (parents) and through prayer support for all confirmation students, guides, leaders and the youth and family ministries of Messiah Lutheran Church!

Student Signature ______Date ______Parents Signatures ______Date ______Date ______