Confirmation APPLICATION

Confirmation APPLICATION
Parent’s Section
Student’s Legal Name:
Greeting Name: Date of Birth: Age:
Address:
Home Phone:
Parent Email:
Date and Church of Child’s Baptism:
School Attending:
City, State, Zip:
Student Cell:
Student Email:
Grade in School:
Father
Parents’ Full Names:
Parents’ Cell Phone:
Church Membership:
If parents are divorced, with whom is the student living?
Mother
Is there any information that will help us to better serve your child’s needs in this program
(family concerns; learning differences; social, physical or psychological considerations, etc.)?
Do YOU believe that your child is spiritually ready to make a full commitment to Christ and his
Church and join HPPC as a full communing member?
Name of Sponsor
(HPPC Elder or Deacon) Requested:
Sponsor Phone:
Sponsor Email:
You, the parent, are requested to contact a sponsor and see
if they are available to sponsor your child for Confirmation.
Any person who has ever served as an Elder or Deacon at
HPPC is eligible. (Call our office if you need assistance with
this, or if you would like a list of available sponsors.)

For Office Use Only
Date Received:
Confirmation APPLICATION continued
Student’s Section
Why do you want to do Confirmation and become a member of HPPC?
Please check all the answers below that apply to you:
Who has helped you make this decision to join HPPC?
Your parents Your youth leader Your friends Other
How familiar are you with HPPC:
Very well Kind of well Not really well Not at all
How often do you attend Sunday School or LTG?
Weekly Twice monthly Once a month Rarely
What do you think it means to be a Christian?
Have you ever made decision to follow Jesus as your personal Savior and Lord? If so, when?
My signature below affirms that I wish to participate in the Confirmation process at
Highland Park Presbyterian Church. I promise to be actively involved in the program,
and will meet all requirements and expectations.
Student’s Signature:
Parent’s Signature:
Date:
Date:
Please return these completed forms to:
Highland Park Presbyterian Church
Attn: Youth Ministry/Confirmation Class
3821 University Blvd
Dallas, TX 75205
or Scan & Fax:
214-525-6616
or Scan & Email:
youth.ministry@hppc.org