Online Kipaimara

Confrimation

REGISTRATION FORM FOR ENGLISH LANGUAGE

Online Confirmation Classes

1. Full name

Gender

3. Date of Birth

4. Place of Birth

5. Baptism Date

6. Current congregation

7. Country of residence

8. City

9. Indicate Day for joining classes

10. Indicate Time for joining classes

11. Parent/Guardian name

12. Parent/Guardian phone number

13. Parent/Guardian Email

14. Parent alternative phone number

15. Parent/Guardian comment

If you are human, leave this field blank.