Confirmand's Full Christian Name
First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip Code:
Youth's E-mail Address:
Parents' Phone #:
Youth's Phone #:
Parent/Guardian Name(s):
Are Parents Members of BUMC?	Please Select One:YesNo
Has the candidate for Confirmation been baptized?	Please Select One:YesNo
When & Where was the candidate baptized?
Confirmand's birth date (mm/dd/yy format)
Parent Involvement (Please choose at least one opportunity)
	Co-Teacher (3 needed) Field Trip/Retreat Driver/Chaperone (4 needed) Class Snack Coordinator (2 needed) Attendance Secretary (1 needed) Service Project Coordinator (1 needed)
Security code:	*

* indicates a required field

First Name:
Last Name:
E-mail Address:
Address:
City:
State:
Zip Code:
Telephone:
Alt/Cell Phone:
Faith Friend Involvement (Pick in order of preference)
Event Dates Below
Choice 1	Field Trip Driver/ChaperoneRetreat Driver/ChaperoneField Trip CoordinatorRetreat Coordinator
Choice 2	Field Trip Driver/ChaperoneRetreat Driver/ChaperoneField Trip CoordinatorRetreat Coordinator
Choice 3	Field Trip Driver/ChaperoneRetreat Driver/ChaperoneField Trip CoordinatorRetreat Coordinator
Choice 4	Field Trip Driver/ChaperoneRetreat Driver/ChaperoneField Trip CoordinatorRetreat Coordinator
Security code:	*

* indicates a required field