Confirmation 2025 Registration

I am registering the following youth: *

1 Youth – $50.00
2 Youth – $100.00
3 Youth – $150.00

Youth's preferred name *

First

Last

2. Youth's preferred name *

First

Last

3. Youth's preferred name *

First

Last

Youth's Age *

2. Youth's Age *

3. Youth's Age *

Birthdate *

2. Birthdate *

3. Birthdate *

Grade 2025/26 *

2. Grade 2025/26 *

3. Grade 2025/26 *

Name of Parent/Guardian #1 *

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian Cell #1 *

Parent/Guardian Email #1 *

Parent/Guardian #2

First

Last

Parent/Guardian Cell #2

Parent/Guardian Email #2

Home Church, if any:

We’re interested in hearing more about Timnath Presbyterian Church:

Yes
No

Allergies/medical conditions: *

If none, please put NA

TIMNATH PRESBYTERIAN CHURCH UNIVERSAL PERMISSION FORM 2025-26

Youth Name *

First

Last

2. Youth Name *

First

Last

3. Youth Name *

First

Last

Age *

2. Age *

3. Age *

Birthdate *

2. Birthdate *

3. Birthdate *

Grade 2025/26 *

2. Grade 2025/26 *

3. Grade 2025/26 *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian Name *

First

Last

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian Cell Phone

Parent/Guardian Email *

TPC Permission

I, the parent/guardian of the above-named child, give my permission to participate in Timnath Presbyterian Church’s (NKA ‘TPC’) 2025-2026 Children’s Ministry programs, activities, outings, camps, and mission projects. I agree to hold harmless and indemnify Timnath Presbyterian Church, its agents, staff, and volunteers, from any and all liability, personal injury, sickness, death, as well as property damage and expenses, which may be incurred by the participant while participating or commuting to/from TPC youth activities, programs, activities, outings, camps and mission projects. In case of illness or injury, give TPC my permission to procure medical attention/treatment for the above-named youth. I understand that TPC does not provide medical insurance or reimbursement for medical fees or prescriptions. I understand that I am responsible for any fees or charges arising from illness or injury, which occurred while youth were participating or commuting to/from TPC youth activities, programs, outings, camps, and mission projects.

Photo Permission Acceptance or Refusal *

I give my ACCEPTANCE to use the above named
Do NOT use of the above named youth
Do NOT use of the above named youth #2
Do NOT use of the above named youth #3

If Do NOT use box(s) is checked, I do not give TPC permission to take photos of the above-named youth in context of TPC youth activities, programs, outings, camps, and mission projects to be used, untagged, in TPC communications, TPC website and TPC social media only.

Signature *

Clear Signature

Date / Time *

Total

$0.00

*Confirmation Fee = $50/student in cash or make out a check to Timnath Presbyterian Church with ‘Confirmation’ in the memo line (*Confirmation Scholarships are available. Please talk to the pastor or Youth Director for information)

TIMNATH PRESBYTERIAN CHURCH UNIVERSAL PERMISSION FORM 2025-26

TPC Permission

Timnath Presbyterian Church (TPC)

CONTACT

DIRECTORY