RE Registration 2018-19: New Registration Or Update Information

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* 1. Child #1's Information

Name:

Birthdate

Grade (2018-19)

Allergies

Medications

Is your child taking OWL this year?

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* 2. Child #2's Information

Name:

Birthdate

Grade (2018-19)

Allergies

Maryland

Medications

Phone Number:

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* 3. Child #3's Information

Name:

Birthdate

Grade (2018-19)

Allergies

Medications

Is your child taking OWL this year?

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* 4. Child #4's Information

Name:

Birthdate

Grade (2017-18)

Allergies

Medications

Phone Number:

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* 5. Adult #1's Information

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

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* 6. Adult #2's Information

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

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* 7. PLEASE share any information about your child(ren) or youth that will help us make this the best possible experience for them (special needs, developmental concerns, learning styles, etc.). Or e-mail dre@uucss.org.

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* 8. Our RE Program relies on the time and talents of many individuals. We ask that every family with a child or youth registered in our program contribute in one of the following ways (please indicate your preference):

Age Specific RE Class Teacher (2-3x/month for 6-7 months)

Children's Worship Assistant (9x/year)

Spring Mini-Course Teacher; topic of your choice! (6x in the spring)

Art Assembly Assistant (3x/year, usually on holiday weekends)

Nursery Substitute (as needed)

Substitute Teacher (as needed)

RE Committee Member (evening meetings 1x/month, 4th Tuesday of every month)

I cannot volunteer at this time

I am interested in being trained in Our Whole Lives (Health and Sexuality curriculum).

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* 9. VACCINATION POLICY—UUCSS policy requires that all children and youth be vaccinated according to the Centers for Disease Control and Prevention recommended schedule. By typing my full name in the space provided, I am verifying my compliance with this policy and agreement to remain in compliance while attending UUCSS or that my child has a medical exemption preventing compliance with this policy.

If your child has a medical exemption please indicate the exemption below.

Parent/Guardian Name:

Date:

Medical Exemption:

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* 10. PHOTO RELEASE FORM—By typing my full name in the space provided, I grant UUCSS permission to use photos or videos of my child(ren) on the UUCSS website and/or in UUCSS brochures or on bulletin boards at church.

Parent/Guardian Name:

Date: