Confirmation Registration - Christ the King Lutheran Church - New Brighton, MN

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Confirmation Registration

Please complete one form for each youth participant.

* Indicates required field

Youth Name *

First

Last

Youth Email *

Youth Phone # *

Grade (2022-23 school year) *

6 7 8 9 10 11 12

Birthday *

ex 12/1/2010

Food Sensitivities/Allergies *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 1 Email *

Parent/Guardian 1 Phone # *

Parent/Guardian 2 Name *

First

Last

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Parent/Guardian 2 Email *

Parent/Guardian 2 Phone # *

Electronic Signature *

I consent to using an electronic signature

If you do not consent, you will be required to complete a printed confirmation registration and Waiver and Release of Liability.

Please read Christ the King's Waiver and Release of Liability. By signing (typing) your name below, you agree to the terms listed in the document and give permission for your child to participate in CtK events. You may rescind your agreement to this waiver at any point via written communication with Christ the King.

I have read the Waiver and Release of Liability and I agree to the terms.

Signature Parent/Guardian 1 *

Date *

Signature Parent/Guardian 2 *

Date *

Media Release for 2022-2023 Youth Events
We would like to use photos and/or video of your child in our publications, on our website, and on our social media. Please sign below to show that we have your permission. You may register without offering your permission, if you wish.

Photo Consent *

I give permission for CtK to photograph my child. I do not grant photo permission

Signature Parent/Guardian 1 *

Your typed name will serve as a valid, binding signature.

Signature Parent/Guardian 2 *

It's going to be a great year of confirmation!
One you have clicked "Submit" you will be directed to CtK's online giving page. Please enter $50.00 into "Other Donations" and specify "Confirmation" on your payment.
Note: We do not want financial costs to be a deterrent. Please contact Pastor Sarah about any financial concerns.

Submit

Christ the King Lutheran Church
1900 7th Street NW
New Brighton, MN 55112
Phone: 651-633-4674
Email: info@lifeatctk.org
Office Hours: 9 am - 2 pm Mon - Thurs or by appointment

Sunday Schedule
Sunday Morning Worship at 9:30 am
12 pm Cristo Rey Servicio en Español

Christ the King Lutheran Church

Home
News & Updates
Faith Formation
Worship & Music
Get Involved
Cristo Rey