Forms

Confirmation Class Registration

Fill out this form to register your 7-10th grade youth for the 2017-18 confirmation classes. Use a separate form for each youth you wish to register.

NOTE:
7-9th grade parents & students meet in the church fellowship hall Sept. 13 at 7 p.m.

10th grade parents & students meet Sept. 13 at 8 p.m.

The first class for students is Sept. 20; classes are each Wednesday going forward.

If you prefer to do so, you may pick up a paper registration form from the table in the NW church building entry, fill it out and return it to the church office in person or by mail to P O Box 448, Cokato MN 55321. Building/office hours are 8 a.m. - 5 p.m. M-F.
  • First Name
    Last Name
  • Check the box indicating grade.
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  • Not a required field.
  • If there are no medical concerns or allergies, please type "NONE" in the box below.
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  • PARENT INFORMATION
  • First Name
    Last Name
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  • First Name
    Last Name
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  • If there is another person living at a different address than those given above, and that person should receive confirmation class information for this child, please list their name, phone, mailing and E-Mail address information in the box below. Please also indicate what relationship this person has to this child; for example, grandparent, foster parent, step-parent, guardian, etc.
  • You may check all that apply.
  • Please enter your email address before clicking the "submit" button. You will receive a message confirming your registration.
  • Enter a number in the box indicating how many people will attend the parent's meeting of September 13:
  • I hereby allow my son/daughter/ward (insert name below) for whom I am the legal guardian, to attend/participate in youth activities and events sponsored by Evangelical Lutheran Church, Cokato MN.
    First Name
    Last Name
  • I hereby agree my child/ren may participate in ongoing and upcoming events. I further agree to waive and release any claims I might have on behalf of myself or my child/ren for personal injury, property damage, property loss or death. I discharge and release the Evangelical Lutheran Church, its officials, agents, employees and volunteers from any liability which might exist because of my child/ren's participation in said events. I also grant permission for the above named child/ren to ride in the provided vehicles that will be transporting the participants during said events. I have read this release and understand its terms. I hereby sign this Release voluntarily and with full knowledge of its significance.
    First Name
    Last Name
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  • Check one box below. Is the participant under the care of a physician or practitioner of any kind?
  • First Name
    Last Name
  • First Name
    Last Name
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  • In the event of an emergency, I grant permission to Evangelical Lutheran Church staff or agents to transport my child/ward to a hospital/after hours clinic for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. As the parent/legal guardian, I give full authorization to the Evangelical Lutheran Church staff or agents to secure medical care or treatment for above named child. This treatment may include assistance from the nearest physician, medical clinic, hospital, trained nurse or EMT in the event of illness or injury that requires immediate medical attention, as to be determined by the event staff. In the event that I cannot be contacted, and an emergency has occured, I give permission to the treating medical institution and or medical providers to hospitalize and administer the appropriate treatment deemed medically necessary. I further agree that Evangelical Lutheran Church and its employees and agents will not be held responsible for injuries or damages arising from the provision of any such emergency medical treatment. I understand that as a parent/guardian, I will be responsible for the cost of any service of treatment provided. This authorization shall remain effective until he/she completes this event. I have read this document, I understand its contents, and I agree to its terms. If needed, below, please list any limits to medical treatment.
    First Name
    Last Name
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  • List below any limits to medical treatment.