Confirmation Registration 2025-2026

Student Name

First Name

Last Name

Student Grade

Student's School District

Burnsville

Prior Lake

Shakopee

Apple Valley

Lakeville

Other

Parent Name 1

First Name

Last Name

Parent Name 2

First Name

Last Name

Primary Email

Used for parent communications related to Confirmation

Secondary Email

additional parent email for communication

Cell Phone 1

Parent number to receive texts regarding confirmation

(###)

###

####

Cell Phone 2

(###)

###

####

Food Allergies

Additional information you would like us to know about your student.

I (name) am interested in being a Chaperone for the Lock-in or the Retreat

Please indicate name of interested party and which event(s).

I (name) am interested in being a Field Trip Driver

Please indicate name of interested party.