REGISTRATION FOR CONFIRMATION CLASS

Zion Lutheran Church, Hopkins, Minnesota

September 5, 2007 – April 23, 2008

Student’s Name __________________________________________________________

First Middle Last

Birth Date ____________ Age _________ Baptismal Date ______________________

Address ____________________________________ Phone ____________________

City ____________________ Zip _________ email address ____________________

Mother’s Name ________________________________________

First Last

Father’s Name ________________________________________

First Last

Student lives with _________________________________________________________

(both parents, only one parent, grandparents, etc.)

Name of school attending this year ___________________________________________

Grade in school this year ___________

Confirmation Year: First _____ Second _____ Third _____ Fourth ______

Member of Zion? Yes ______ No ______

Information about my child which might be helpful to the pastor or small group leader:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

THIS REGISTRATION FORM IS TO BE RETURNED & FEES PAID to the church office by September 5, 2007 (Orientation evening meeting)

“Train a child in the way he should go, and when he is old he will not turn from it.” (Proverbs 22:6)