UUCMP Children & Youth Program Registration

Please fill out this form and click submit.

Registering for:

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Nursery Religious Exploration (RE) [school grades K - 12] Our Whole Lives (OWL) [school grades 5/6 & 7/8]

Nursery childcare and Religious Exploration (RE) classes occur during regular Sunday worship services, at no cost.

Our Whole Lives (OWL) classes are held on Sunday afternoons. Course registration is limited, and there is a fee. Contact the Director of Religious Exploration, church office, or ministers for information.

Parent 1 / Guardian Name

Parent 1 / Guardian Email

This address will receive a confirmation email

Family Address

Primary Phone

Primary Phone Type

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Landline (Home) Mobile Landline (Business) Other

Best Way to Contact:

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Primary Phone - Voice Primary Phone - Text Email Facebook Messenger Other (describe in Other Comments)

Parent 2 Name (First & Last)

Parent 2 Email

Parent 2 Address (if different)

Alternate Phone

Alternate Phone Type

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Landline (Home) Mobile Landline (Business) Other

Child 1 Name

Child 1 Gender

Please select one option.

Female Male Other

Child 1 Birthdate

Child 1 School Grade (if it's summer, the upcoming grade level)

Child 1 School

Child 2 Name

Child 2 Gender

Please select one option.

Female Male Other

Child 2 Birthdate

Child 2 School Grade (if it's summer, the upcoming grade level)

Child 2 School

Child 3 Name

Child 3 Gender

Please select one option.

Female Male Other

Child 3 Birthdate

Child 3 School Grade (if it's summer, the upcoming grade level)

Child 3 School

*** If you are registering more than three children, please continue on another form. ***

Do we have permission to use your child(ren)'s photo in church publications, websites, or worship services?

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Yes No

Do we have permission to use your child(ren)'s video in worship services?

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Yes No

Any allergies or medical conditions? If so, please list by child; if not, please enter 'NONE'.

Strong likes or dislikes? If noteworthy, please describe.

Other Comments

Description

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UUCMP Children & Youth Program Registration

Description

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