Confirmation Church Service/Event Log

Each time you participate in church service or a church community event, fill out this form. The goal is to participate in 4 church services and/or events between summer-spring.

Your Name Your Name First Last
Email (yours or your parent/guardian's) - a receipt of this form will be sent once you submit.
Date of Service/Event Date of Service/Event / MM / DD YYYY
If you are recording a service/event that covers multiple dates, write them below.
How long were you at the service/event?
What was the service or event? Give a brief description of what you did.
Name of Adult Supervisor Name of Adult Supervisor First Last
Signature of Adult Supervisor:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
If you cannot get the adult's signature at this time, please provide their contact information.