Complete a new form for each confirmand.
Please provide the names and 10 digit phone numbers of those who should be contacted in case of emergency during confirmation. A parent or guardian should be listed as emergency contact #1 in most cases.
Emergency Contact #1 Name / Phone: Jane Doe / 605-371-3737
Emergency Contact #2 Name / Phone: John Doe / 605-371-3736
Please provide the email address of the adult completing this registration so that you can recieve a confirmation.
Gloria Dei Lutheran Church respects your privacy.