Sturgeon Bay Moravian Church: News, Events & Registrations: Discipleship/Explorer Participant Personal History

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Discipleship/Explorer Participant Personal History

Please complete this form to enroll in either the Discipleship or Explorer's Confirmation class.

- Discipleship/Confirmation Class - Traditionally for Grades 6 & 7.

- Explorer's/Confirmation Class - For students in Grades 8 and up who have not yet confirmed their faith.

* Required

Errors

I am registering for the following class *

Discipleship/Confirmation

Explorer's/Confirmation

Student's Name

First Name *

Middle *

Last Name *

Father's Name

First Name *

Middle *

Last Name *

Mother's Name

First Name *

Middle *

Last Name *

Mother's Maiden Name

Address Line 1 *

Address Line 2

City *

ZIP Code *

Home Phone Number *
( ) - ext.

Father's Cell Number
( ) - ext.

Mother's Cell Number
( ) - ext.

STUDENT INFORMATION

Email Address *

Birth Date *

City/State Where Born *

BAPTISMAL INFORMATION

Were You Baptized *

Yes

Baptismal Date

Church Baptized At

City/State Where Baptized

FIRST COMMUNION INFORMATION

Participate in Communion

Yes

Date of First Communion

Church of First Communion

City/State Where First Communion

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323 S 5th Ave, Sturgeon Bay, WI 54235

(920) 743-6218