PreCon

September 18, 2024 4:00 PM - 5:15 PM

64 out of 100 remaining tickets available

Type

Price

Quantity

PreCon Registration

Price
$65.00

Quantity

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PreCon Registration 0

Youth Information

First Name *

Last Name *

Preferred Name *

Preferred Pronouns

Youth Email Address

Date of Birth *

School Grade (Fall, 2024) *

School Name (no abbreviations) *

Has Youth been baptized? *

Youth Primary Street Address *

City *

Zip Code *

Medical Information: Does youth have any allergies, dietary needs to avoid? *

List Known Allergies

Behavior Information: Does student have any behavior issues we should be aware of? *

Please list known behavioral Issues

In Case of Emergency Contact

Name *

Relationship to Youth *

Emergency Contact Mobile *

Transportation Consent

I/We authorize our minor child to be driven to Farmington Lutheran Church (FLC) Events by an FLC staff or volunteer who has successfully completed a background check and attended FLC's Safeguarding Children and Youth training. I/We understand my child is expected to follow the directions provided by the driver, staff or volunteer.

Transportation Permission *

Yes

N/A, Youth is in 3rd grade or younger

Photography Consent

I/We hereby grant permission for Farmington Lutheran Church, it's staff, volunteers or representatives to take and use photographs, video and/or digital images of my child for use in publications, social media and/or promotions.

Photo Permission *

Yes

Parent/Guardian Information

Parent/Guardian Name *

Parent/Guardian Email *

I would like to help in youth and family ministries in this way: *

Meal Coordinator for Suppers on the 2nd

Snack Coordinator

Provide Transportation

Maybe! What are my options?

I can donate, clean, set up... but please don't leave me alone!

Help during program nights- supervision, prep materials, etc.

I am interested in offsetting the full cost of the precon/confirmation program year for my student (additional $190.00). Please have a staff member contact me to arrange payment. *

Yes

Total

$0.00

Time Remaining