Confirmation Registration

Preferred Email *

Additional Email *

Consent and Certification

Consent for Participation

I, the undersigned, being the parent or legal guardian of the child named above (the “child”), do hereby consent to the participation of my child in all of the regularly-scheduled activities of all programs for youth of First Lutheran Church, Cedar Rapids, Iowa, (“Church”) for the period September 1, 2016 through September 1, 2017, including field trips, campouts, swimming, boating, hiking, sporting events, and any other activities customarily associated with church youth programs.

Consent of Photos or Videos

I, the undersigned, being the parent or legal guardian of the child named above (the "child"), do hearby give permission to First Lutheran Church of Cedar Rapids, IA to take pictures and/or video of my youth during Confirmation. These pictures or videos may be used for promotional purposes which may include posting on First Lutheran’s website, Facebook page, or Twitter. Please note: Youth will not be identified by name, and no photos will be posted of youth in vulnerable poses.

Doctor/Primary Care/Insurance Information

Medical Questionnaire

Medical Treatment Authorization

I understand that reasonable attempts to notify me will be made in the case of a medical emergency involving my child. However, in the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill.
I authorize any one or more of the following persons: Pastor Steve Knudson, Pastor Craig Brown, Michael Beckmann, or if none of them is available, then any adult supervisor, to make emergency medical decisions on behalf of my child if such decisions are required by law or deemed necessary or advisable by a health care provider. I understand that the Church and the persons named above will not be responsible for medical expenses incurred solely on the basis of this authorization.

I agree to notify the Church in the event of any health changes which would restrict my child’s participation in any normal youth or children’s activities. I also understand that the adult supervisors reserve the right to restrict my child from any activity that they do not feel is within the physical capabilities of my child.

A copy/online version of this form shall be deemed to be as effective as the original.

Registration Form- Ministry & Involvement

Centering our lives on God is the foundation to our faith life. Please choose the worship service you are committing to make your primary worship time. It is understood that you will attend worship at other times (due to personal schedule, participation in choirs, etc.) or even in other congregations. We ask that you choose one as your primary service because the very act of making this commitment is an encouragement to be faithful in attending.

Worship Participation

We ask that you participate in worship 6 times during the ministry year. (All youth will be asked to Acolyte at least 2 times during the year.) Check the boxes you are interested in. We will provide training and adult supervision of all roles.

Choose how you would like to be involved! *

READ – Help us by reading the Bible lesson during worship. SING – Sing with the Youth Choir on a regular basis or sing a solo at worship. PLAY – Play the hand bells with the MS Hand Bells on a regular basis or share your musical instrument by playing a piece of music at worship. USHER – Smile and hand people a bulletin, guide them for communion, and help pass the plates during offering. GREET – Hold the door open for people outside, smile, and say, “Hello!” GET DIRTY – Help run a vacuum and move worship stuff! CLEAN UP – Help clean up after communion. GEAR UP – Help us worship God by running words and images on the screens. (PowerPoint) LIGHT IT UP - Acolyte- Helps with the candles, offering, and communion during worship.(All youth will be assigned twice. Mark the box if you want to acolyte more than twice.)

Christian Camp Experience
Connecting with each other and with God in a fun but meaningful way is what happens at a Christian Camp. Because we recognize the value of such an experience we ask that you commit to attending either a weekend Dirty Feet Retreat or a week at a Christian Camp* sometime between the summer before your 6th grade year and the Fall of your 9th Grade year. Please mark what (if any) you are willing to commit to this year.*By this we mean denominational camps like EWALU, Riverside Lutheran Bible Camp, and Camp IO-Dis-E-Ca. These camps focus on bible study, include worship, and are built around faith growth and development. While wonderful camps providing a great experience, Camp Wapsie, FCA Camps, and other nominally Christian camps do not have the same focus.

Mission Trip Experience
As a Confirmation Ministry we believe it is important to provide our confirmation youth the opportunity to serve others. This year we are including the service nights into our community nights. We do encourage families to make a point to come to the service nights each month as a way to build up the importance of serving others, and to look for ways to serve outside of the church!

Parent/Guardian Leadership & Support
As parent/guardian(s) you play the vital role in the faith development and growth of your child. Statistical evidence proves that parents/guardians are the number one faith influence on their children. We are committed to doing all we can to support you. The more your children see you engaging in these ministries, the more likely your children will engage in their young adulthood.

We ask you to make the following commitments:

1) To attend worship as a family. Worship notes are meant to create space for you and your youth to connect the message in worship to your everyday life. You can usher or greet as a family. Your child can read scripture. You can acolyte together!

2) To grow your own faith. Become a faith mentor, seek spiritual direction with Marcie Watson, join in one of the many opportunities during the Sunday Morning Education Hour, Worship TOGETHER, or serve dinner to people in need on Saturday nights at church. These actions model for your children the continued growth that accompanies a living faith.

3) To talk with your children about what they are learning and participate on parent nights. You are always welcome to attend on Wednesday nights and we will work to communicate with you often. Use the Confirmation Family Blog as a way to lead devotions after Wednesday nights. Use the Faith 5 to lead a simple devotion. Bless your children!

4) To pray with and for your family. Pray at meals and before bed. Stop to pray in the middle of a tough time! Pray for our pastors and confirmation leaders. Time spent together in prayer, reading scripture, reading a devotional book, or discussing the week’s sermon can be a great way to grow your relationship with your family and with God. Again, check out our Weekly Confirmation Blog for a short devotion tied into the Confirmation lesson on Wednesday!

We need the support of parents to make our ministry successful and ask you to check 3 things you would be interested in doing. *

Small Group Guide/Assistant Guide (Weekly on Wed., 2 Adults for every 5-6 Youth) Substitute Small Group guide (as needed) Chaperone the Dirty Feet Retreat (Oct.) Chaperone the Christmas Lock-In (Dec.) Co-ordinate phone calls to volunteers Drive to and from events (as needed) Call me when you have a need for volunteers