STUDENT INFORMATION (ONE child per form)
PRIMARY PARENT/GUARDIAN INFORMATION
SECONDARY PARENT/GUARDIAN INFORMATION
IMPORTANT CONFIRMATION DATES
Wednesday, September 11 @ 6:00PM: REQUIRED Student/Parent Confirmation Kick-Off!
Wednesday, September 18 @ 6:15PM: First Night of Class!
FAMILY NIGHTS: Nov. 20, January 22, and February 26
Family Nights are REQUIRED for at least one parent to attend with the child.
RETREAT SCHEDULE
You MUST attend one as part of our programming
6th/7th Grade: November 2 OR March 22
8th Grade: April 27
PLEASE NOTE: All are invited to participate in the confirmation program. If you are working towards affirming your baptism in the Fall of your 9th grade year, certain requirements will need to be met each year. Each student agrees to complete 12 hours of service and 12 worship notes. All students also agree to attend the retreats, and attend church and church outings on a regular basis, including Lenten services.
BOTH PARENT/GUARDIAN AND STUDENT are required to enter their intials below, indicating they have read and understand the requirements and expectations of Alleluia's Confirmation program.
VOLUNTEER & DONATION OPPORTUNITIES
EMERGENCY CONTACT / MEDICAL INFORMATION
Release from Liability: By signing below, Guardians hereby authorize their son/daughter to participate in said activity. Guardians hereby release, forever discharge and agree to hold harmless, Alleluia Lutheran Church, from the described event, and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expense, of any nature whatsoever which may be incurred by the undersigned and the participant that occur while said person is participating in the described event. The undersigned further hereby agrees to hold harmless and indemnify Alleluia Lutheran Church, its director, employees and agents for liability sustained by said act of said participant, including any expenses incurred.
By signing below you are giving your child permission to go on outings with his or her small group, supervised by a small group leader or part of the confirmation staff on Wednesday nights or other special events that you have been notified of for the 2024-25 Confirmation year. Small group leaders or confirmation staff will contact parents prior to such an outing if it has not been part of the regular Confirmation schedule for the year.
I give my child permission to ride in church arranged vehicles for Alleluia Lutheran Church related activities and release Alleluia Lutheran Church and the driver/owner of the vehicle from any damages which may result due to accident or injury. Your child will be supervised at all times by their small group leaders or staff. If traveling in a vehicle, students will wear their own safety belts.
Behavior: I understand that if my child misbehaves or is disruptive that I am responsible to pick him/her up from the event at any time.
Pictures: I agree to allow Alleluia to take pictures of my child(ren) during Confirmation and any activity associated with Confirmation. I understand that these photos may be used for programming and publicity purposes only.
Medical Release: The undersigned further consents to the administration of first-aid and/or doctor’s care, or any other form of medical treatment necessitated by illness or injury that may require the same. In the event of the necessity of such care or treatment as heretofore described, the undersigned agrees to hold harmless and indemnify Alleluia Lutheran Church, its director, employees and agents from any acts of misconduct, and/or failure to act on the part of those chosen to administer medical aid on behalf of participant.
By entering my name on the signature lines below, I am providing my digital signature on this form.
FOR MORE INFORMATION, PLEASE CONTACT:
Jen Teachout at cyf@alleluialutheranchurch.org
(763) 497-5816
10401 30th St NE, St. Michael, MN 55376
www.AlleluiaLutheranChurch.org