Confirmation Registration

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Confirmation Registration

Student Information

First name*

Last name*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Student Phone

Student Email

Birthday*

Month

Day

Year

2026-2027 School*

2026-2027 Grade*

Allergies or other health concerns (if applicable):

Has the student been baptized?*

Yes

No

Baptism Date

Month

Day

Year

Parent/Guardian Information

Parent/Guardian Name(s)*

Address, if different from above

Country/Region*

Address*

City*

Zip / Postal code*

Parent Email #1*

Parent Email #2

Parent Cell Phone #1*

Parent Cell Phone #2

I can volunteer as a Small Group Leader...*

Yes

No

I can volunteer to help with youth events...*

Yes

No

I want to volunteer on the Youth & Family Team...*

Yes

No

I can help decorate/maintain the youth room & kitchen...*

Yes

No

ABOUT US

Lord of Life Lutheran Church

Love all, serve all, welcome all as Christ.

ADDRESS

701-223-2986

1143 N 26th St.

Bismarck, ND 58501

lordoflife@lordoflifebismarck.org

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Email

Phone

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I would like information on becoming a member of Lord of Life Lutheran Church.

Service and Hymns—unless in the public domain—are covered by CCLI License 3163838 and One License #729673-A. All rights reserved. Permission to reprint, podcast, and/or stream the music in our services obtained from ONE LICENSE with license #A-729673. All rights reserved. Portions of the Liturgy are reprinted from Sundays and Seasons, copyright 2026. Right under the copyright law of the USA to publicly perform certain lawfully obtained motion pictures from CVLI license #505541194.

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