6th Grade Confirmation: Registration Form

If you would rather print the form and send it in, click here.
Please call Rev. Walt Marcum at 214.523.2235 or 214.616.4770 if you have any questions.

Child's name:*
Gender:*	MaleFemale
Child's birthday:*
Child's school:*
Father's name:*
Mother's name:*
Street address:*
City and zip code:*
Home phone:*
Perferred 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*	has been baptizedhas NOT been baptized
If baptized. date/location:
HPUMC member?*	YesNo
If no, members of what church?