FaithandDailyLifeFDL - St. Mark's Lutheran Church

FDL/Confirmation Registration

FDL fee for dinner and program is $80 per student per year ($40 per term), due at the beginning of each term. High school student fee for meal and program is $40 per year.


Please register my child for:	FDL Confirmation
Student's Last Name:
Student's First Name:
Parent's/Guardian's Name:
Grade in Fall:
Age:
Date of Birth:
Street Address:
City and Zip Code:
Area Code and Phone Number:
Emergency Area Code and Phone Number:
Email Address:
Member of St. Mark's?	Yes No
Special Needs/Concerns/Allergies: