2023-24 IGNITE CONFIRMATION REGISTRATION

Your registration also signifies your approval of the use of pictures taken at events, to be used in our social media or publications. We do not identify or tag students by name in any of our materials, unless permission is given.

STUDENT INFORMATION

Legal Name

Nickname

Student's Picture

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Member of CLC?

Yes No, but this is our church. Please email me more information about membership. No, member of another church No, not interested

Is this student baptized? *

Yes No, please email me more information

* The student must be baptized before they enter 9th grade in order to Affirm their faith in the fall of their 10th grade year.

Has this student celebrated first communion?

Yes No, please email me more information.

School:

Grade for 2023-2024 School Year

Birthdate:

Special information (allergies, medical, family, etc., see description below *)

* Please include NEED TO KNOW circumstances (Medical/Special Needs: Allergies, ADHD, Autistic, Behavioral Issues, etc.) or Family Dynamics (Divorce, split custody, etc.). This information will be for Ignite's files only.

HOUSEHOLD INFORMATION

Parent/Guardian #1 - First & Last Name

Parent/Guardian #1 - Cell Phone

May we text you? (1)

Parent/Guardian #1 - Email

This address will receive a confirmation email

Parent/Guardian #1 - Address

Parent/Guardian #2 - First & Last Name

Parent/Guardian #2 - Cell Phone

May we text you? (2)

Parent/Guardian #2 - Email

Parent/Guardian #2 - Address (if different from parent/guardian #1)

EMERGENCY CONTACT

Emergency contact - NOT parent/guardian. To be contacted in the event of an emergency and a parent/guardian cannot be reached.

Emergency Contact - First & Last Name

Relationship to Student

Emergency Contact - Phone

Emergency Contact - Alternate Phone

CONFIRMATION INFORMATION

New student to Ignite Confirmation?

For 7th Grader or New Student (see description below *)

* Please note up to 3 other students that your child would like to be in a group with (grouped by grade & gender). Likewise, if you have a reason that they should be separated from another student, please note that here. We will do our best to make sure that your young person is in a small group with at least one of their requests - although we cannot make any guarantees.

RETREAT

Participation in a retreat is expected of our Ignite students. Please select the retreat that your child will attend. Selection can be changed during the year, if needed. Exact dates & locations have yet to be finalized. You will receive an email with more info once these are confirmed.

October 13-15 Camp Shamineau Winter/Feb? Date & Location TBD

PARENT/GUARDIAN - ROLES & RESPONSIBILITIES

Like all youth programming at CLC, Ignite Confirmation is a parent/family driven ministry. Parents play the largest role in shaping their child's faith formation.

It is our expectation that all confirmation parents/guardians serve at Ignite. Please share with us in what area(s) you plan to serve in the 2023-24 programming year.

Please check any opportunities you are interested in helping with. Thank you!

Small Group Leader- It is important for kids to have healthy relationships with adults outside of their parents for their faith formation. Small group leaders make a difference. Lead a small group of 5-7 kids through structured conversations. Small Group Leader Sub- Be on call to substitute when needed. Availability on Wednesdays needed. Food & Supervision (5:45-6:45pm)- Be available when food arrives and supervise kids during this free-time. It is important that even free-time takes place in a safe environment. Food & Supervision Sub- Be on call to substitute when needed. Availability on Wednesdays needed. Information Desk Host- Provide a warm welcome to parent and students and additional support to small group leaders if students need to take a break from their small groups. Wednesday Prep Assistant (Wednesday afternoon)- Help us set up rooms before students arrive, help set up any activities. Remote Parent Support- Reach out to other parents throughout the year via phone call or email offering support, prayer, and conversation. Chaperone/Driver for service/fun opportunities. Extra help for Block Parties and other events.

OTHER

Parent involvement is important & we want to partner with and include you!

Parent Participation is expected -
September 20th - Ignite for Ignite
(kick off night for parents and kids)

Let us know you'll be there:

Yes No, I cannot make it (you will be emailed by an Ignite leader)

IMPORTANT INFORMATION - READ CAREFULLY

Consent to Treatment

Yes, I agree *

* I/We do consent to any x-ray, anesthetic, medical, surgical, dental diagnosis, or treatment that may be deemed necessary for my minor child. Further, I understand that all efforts will be made to contact me prior to treatment. In the event I cannot be reached in an emergency, I give permission to the activity leader to make the decisions necessary for treatment. Should there be no activity leader available, I give permission to the attending physician to treat my minor child. I further understand that the doctors, dentists, and other providers attending to my child will take all reasonable safety precautions during their care. Further, as parent or legal guardian I am financially responsible for the health care decision for my minor child and agree that my insurance plan is the primary plan to pay for the dental, medical, or hospital care or treatment that is given to my child. Any policy of the church or organization sponsoring this event will be used as the secondary coverage.

Commitment

Yes, I agree *

* By taking part in Ignite Confirmation, students will form real and lasting relationships with each other, with caring and compassionate adults, and of course, with God.

By choosing to have my child in Ignite Confirmation at CLC, our family is making a commitment to the faith formation of our child by participating in worship and serving regularly.

As the parent/gaurdian I agree to play an active role in my child's faith formation.

I will partner with the CLC staff/volunteers in this life-changing/life-giving path of discipleship where we grow closer to God and to each other through worship, fellowship, service, discipleship and outreach.

2023-24 IGNITE CONFIRMATION REGISTRATION

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