Confirmation Registration 2025-26

Please send a check for $30 per confirmand to:
Zion Lutheran Wayside
attn: Bookeeper
8378 County Road W
Greenleaf, WI 54126
or drop in the secure church dropbox
(This fee helps cover the cost of workbooks and other learning materials)

Please note, by including phone number, you agree to received text messages regarding confirmation class (eg schedule changes, cancellations, events).

Confirmand's Name (First, Middle, Last)

Middle Name

Confirmand's Grade

Confirmand's School

Confirmand's Birthday

Baptized

Yes No

Parent(s)/Guardian(s) Names

Address

Home Phone

Cell Phone #1 Number

Cell Phone #1 Name

Cell Phone #2 Number

Cell Phone #2 Name

Email #1

This address will receive a confirmation email

Email #2

Any Other Information?

Description

Please fill out this form and click submit.

Confirmation Registration 2025-26

Description

Please Fix the Following