Part 1: Confirmation Registration 2026-2027
Please fill out this form and click submit.
Student Information
Name
*
Grade
*
Please select one option.
6th
7th
8th
Select Option
6th
7th
8th
Birthdate
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Any allergies or dietary requirements?
Are there any learning accommodations that would help support this student?
Anything else the church office needs to know?
I understand that photos or videos may be taken at Zion events and used in Zion's promotional materials. I will contact the church office in advance if I have concerns about photos being taken/used.
*
Please select all that apply.
I understand
Parent Information
Parent First Name
*
Parent Last Name
*
Parent Email
*
This address will receive a confirmation email
Additional Parent Email
This address will receive a confirmation email
Parent Phone
*
Zion Communication
The easiest way to contact parents for our ministries is by text. Are you okay if Zion reaches out by text (we promise, no spam - just the most important information)
*
Please select all that apply.
Yes
No
I understand the importance of staying up to date on upcoming events. I will contact the church if I do not want to recieve Zion's Weekly Connect email.
*
Please select one option.
I understand
Are you interested in Zion as a home church?
Please select one option.
Yes
Maybe
Suggested Donation
There is no cost to participate in Confirmation. Families who wish to suppport the program may give a freewill offering to help cover supplies & expenses. Please note that freewill offerings are not tax-deductible.
Donation
($20)
($40)
($60)
Other
($0)
($20)
($40)
($60)
Other
($0)
Amount
Confirmation Requirements
I have reviewed the email attachments and have completed the following tasks
*
Please select all that apply.
Viewed parent handbook
Have knowledge of confirmation requirements
Understand that 75% or greater attendance is required
No, I need help
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following