Welcome Form

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* 1. How did you hear about Unitarian Universalist Church West?

Internet Search

Friend

Driving By

Other (please specify)

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* 2. I would like to know more about...

Children's Religious Education

Church groups (Book, quilting, social justice, yoga, meditation, small group discussions)

Orientation and the path to membership

UU beliefs

Other (please specify)

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* 3. What do you seek within this community?

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* 4. Do you have anything of concern you would like our ministers to hold in their meditations or prayers for you?

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* 5. Contact Information Adult 1

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 6. Additional Information Adult 1

Pronouns

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* 7. Contact Information Adult 2

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 8. Additional Information Adult 2

Pronouns

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* 9. Information Child 1

Child 1 Name (first and last)

Pronouns

Date of Birth (mm/dd/yyyy)

School Grade

Child Cell (if applicable)

Child Email (if applicable)

Important information to know about the child (including allergies)

Name of adult that should be main contact

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* 10. Information Child 2

Child 1 Name (first and last)

Pronouns

Date of Birth (mm/dd/yyyy)

School Grade

Child Cell (if applicable)

Child Email (if applicable)

Important information to know about the child (including allergies)

Name of adult that should be main contact

Question Title

* 11. Information Child 3

Child 1 Name (first and last)

Pronouns

Date of Birth (mm/dd/yyyy)

School Grade

Child Cell (if applicable)

Child Email (if applicable)

Important information to know about the child (including allergies)

Name of adult that should be main contact

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* 12. Information Child 4 or More

Child 1 Name (first and last)

Pronouns

Date of Birth (mm/dd/yyyy)

School Grade

Child Cell (if applicable)

Child Email (if applicable)

Important information to know about the child (including allergies)

Name of adult that should be main contact