Confirmation and Youth Group Registration Form 2025-2026 Program Year

Parent/Guardian Information

Parent/Guardian 1 Name

Parent/Guardian 1 Email

This address will receive a confirmation email

Parent/Guardian 1 Phone

Parent/Guardian 2 Name

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

Student Information

Name

Grade

Birthday

Please use this section to let us know of any food or other allergies or special needs (if none, please put N/A).

Student Communication Preferences

If you are comfortable with your student receiving communications regarding upcoming programs and events, please provide their cell phone and/or email address here:

Program Registration

Please select the program your student will be participating in (select all that apply)

Jr & Sr High Combined Youth Group Confirmation High School Bible Study

Church Involvement

Is your student interested in worship leadership? Please select all that apply: Acolyte Usher Lector (reader) Communion Server Music AV Team Sunday School Helper

If music was slected above, would your student be interested in a youth band? If yes, please list instrument(s) here

Emergency Contact

Name

Phone

Liability Release and Photo Authorization

In the event of an emergency, I understand that all will be done to contact me or the emergency contact provided. However, if neither can be reached, I give full permission to a representative of Trinity Lutheran Church to seek medical attention in my absence for the child registered on this form. I also hereby assume all risk, known or unknown, for the student registered on this form, in connection with their attendance and participation in events at/with Trinity Lutheran Church. I acknowledge that participation in events at/with Trinity Lutheran Church is voluntary and therefore I FULLY RELEASE and discharge Trinity Lutheran Church, its pastors, employees, directors, and volunteer workers, from any and all liability in connection with any activities carried on at/with Trinity Lutheran Church. I further acknowledge that any student registered on this form, as a participant in programs and events at/with Trinity Lutheran Church, may be photographed or captured on video during the program and activities. I hereby grant full permission to Trinity Lutheran Church to use photographs or videos-in print, electronic, online, or other public media-of the child/children registered on this form and further release Trinity Lutheran Church from any and all liability connected with the authorized use of words and image of the student registered on this form. Please type your name to sign:

Confirmation and Youth Group Registration Form 2025-2026 Program Year

Description

Please Fix the Following