..:: Learning Stream - Standard and Plus ::..

All questions marked by an asterisk are required

Event Name:

2022-23 Confirmation Mentor/Jr. Mentor

*Mentor/Jr. Mentor First Name:

*Mentor/Jr. Mentor Last Name:

*Preferred Cell Number:

{xxx-xxx-xxxx}

*Would you like to receive text reminders on the above cell phone number about Confirmation activities?

YES {View Details }
NO

*Primary Email Address:

*Retype Primary Email Address:

Changing your email address will not change your login ID to the new address.

*Address:

*City:

*State/Province/Region:

*Zip/Postal Code:

*Worship location:

Leawood
Overland Park
West
Blue Springs
Downtown
Online

*Have you served as a Confirmation Mentor before?

Yes
No

*Your gender:

Female
Male
Prefer not to identify

*Are you registering as an Adult Mentor or a Student Jr. Mentor?

Adult Mentor
Jr. Mentor

*Do you have a co-mentor in mind?

Yes
No
[Click here to clear selection for question above]

What is the co-mentor's name(s) you would like to serve with ?

If your student is in Confirmation, would you like him/her in your small group?

Yes
No
[Click here to clear selection for question above]

*Would you rather serve as a mentor for: :

A coed/mixed-gender group
Same gender small group (all guys or all girls)
No preference

*Do you have any allergy or dietary restrictions?

No
Yes

*Provide Details:

*There is a required mentor training meeting on either Sunday, Sept. 11 from 12:30-2:00pm OR Tuesday, Sept. 13, from 6:30-8:00pm. Which meeting will you attend?

Sunday, Sept. 11 from 12:30 -2:00pm {View Details }
Tuesday, Sept. 13 from 6:30-8:00pm {View Details }
[Click here to clear selection for question above]

*T-shirt size :

Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large
[Click here to clear selection for question above]

Click the Submit Registration button below. You will be given the option to register another individual. Expect to receive your confirmation email message in about 10 minutes.

Save Information:

{Checking this option will save your information for future registrations}