2011 Confirmation Registration

Please call Rev. Walt Marcum at 214.523.2235 or 214.616.4770 if you have any questions.

Class Dates
Child's First Name*
Child's Last Name*
Gender*
Child's Birthday*
Child's School*
Father's First Name*
Father's Last Name*
Mother's First Name*
Mother's Last Name*
Street Address*
City & Zip*
Home Phone*
Preferred Family Email*
Dad's Work Phone
Dad's Cell Phone
Mom's Work Phone
Mom's Cell Phone
Dad's work email
Mom's work email
My child*
If baptized, date/location
HPUMC member?*
If no, members of what church?
 
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What is the sum of one and nine?*