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Together in Faith @ First
First Lutheran Wednesdays
Registration for Confirmation
2026/2027
Youth Information
Youth's Full Legal Name
Grade in Fall 2026
6th Grade
7th Grade
8th Grade
Gender
Male
Female
I'd rather not say
Date of Birth
Youth's Phone Number
Youth's Email
Primary Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Any food, environmental, or medical allergies?
Yes
No
Please list all allergies, reaction to monitor for, and action plan we should take if reaction is observed.
Are there any medical conditions we should be aware of?
Yes
No
Please list any medical concerns we should be aware of, how it may affect them, and how we may be able to accommodate.
Is this their first year registering for Confirmation with First Lutheran Algona?
Yes
No
Unsure
Has the youth been baptized?
Yes
No
Unsure
What date was the baptism?
What church and town did the baptism occur?
Is there interest in getting baptized at this time?
Baptism is not required to attend confirmation, but is something that is required before becoming confirmed. We will happily discuss this with you if you have questions.
How would your Youth like to be involved with FLC?
God is doing amazing things on Wednesday nights and we want you to be part of it!
How would you like to be involved?
Meal Team - preparing food ahead of time
Meal Team - Serving Food on Wednesdays (5:15-6:15)
Check in table - greeting families and checking in kids as they arrive to church (5:15 to 6:00pm)
Praise Band - sing with or play in the praise band
Have a different idea on how you can help on Wednesdays? Let us know!
How often are you available to help?
Parent/Guardian Information
How many parents/adults are involved with the youth's life?
Please include all birth parents that have parental rights.
One
Two
Three
Four
Adult 1 Full Name
Adult 1 Phone Number
Adult 1 Email
Adult 1 Home Address
Adult 2 Full Name
Phone Number for Adult 2
Email for Adult 2
Home Address for Adult 2 (if different than above)
Adult 3 Full Name
Phone Number for Adult 3
Email for Adult 3
Home Address for Adult 3
Adult 4 Full Name
Phone Number for Adult 4
Email for Adult 4
Home Address for Adult 4
God's amazing work on Wednesdays doesn't end with the kids. Adults can help make a difference, too!
That includes YOU!
Please let us know how you can help serve at FLC.
Meal Team - preparing food ahead of time
Meal Team - Serving Food on Wednesdays (5:15-6:15)
Meal Team - Cleaning up following the meal on Wednesday
Check in table - greeting families and checking in kids as they arrive to church (5:15 to 6:00pm)
Classroom Teacher - leading a class during Wednesday activities using a curriculum
Substitute Teacher - lead a class on a night when the regular teacher is unavailable
Classroom Helper - assistance during learning time.
Photographer - taking pictures during Wednesday activities
Praise Band - sing with or play in the praise band
Confirmation Class - substitute teacher
Are different adults interested in and able to help with different areas or on different nights? Wonderful! Just let us know.
Have a different idea on how you can help on Wednesdays? Let us know!
How often are you available to help?
Are all your household family members registered members of First Lutheran Church Algona?
Yes
No
Unsure
Would you like more information on becoming a member at First Lutheran Church Algona?
Yes, please!
Not right now, thanks.
I would like more information.
Emergency Contacts
In the rare case we would not be able to reach the parents/guardians listed above, please include at least one trusted adult we can contact regarding your youth.
Name
Phone Number
Relationship to Youth
Permissions
I give permission for photographs or videos of my child to be taken while at First Lutheran events, to be used now or in the future for the purpose of internal and external communications, including advertising and marketing as well as posted on Social Medical account(s) including Facebook, Instagram, and the website. I understand I can withdraw this consent at any time by advising the First Lutheran office in writing.
Yes, I agree
No, do not use my child’s image
In the event of a medical emergency, I hereby give permission for First Lutheran Church to secure proper and necessary treatment / medical attention for my child(red) as named on this form.
Yes, I agree
No, do not seek emergency medical treatment without my consent.
Signature
Date
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