CUUF Religious Education Registration Form 2024

This form allows up to 3 children/youth to be enrolled. If you need to enroll more children, please fill out an additional registration form. If you have fewer than 3 children/youth to register, just leave Child/youth information 2 and/or 3 areas blank. Thank you!

Child/Youth Information

1. Child/Youth Name:

School Grade:

Birth Date:

2. Child/Youth Name:

School Grade:

Birth Date:

3. Child/Youth Name:

School Grade:

Birth Date:

Parent/Guardian/Care Giver Information

Name of Parent/Guardian/Care Giver #1:

Address:

Email address:

This address will receive a confirmation email

Cell phone:

Home phone:

Would you like to be added to our RE Announcement email list? Yes No

Name of Parent/Guardian/Care Giver:

Address:

Email address:

This address will receive a confirmation email

Cell phone:

Home phone:

Would you like to be added to our RE Announcement email list? Yes No

Holiday Pageant

This year's holiday pageant will take place on Sunday, December 15. Beginning in October, Sunday RE time will be dedicated to preparing for the holiday pageant. All children who wish to participate will be included in the holiday pageant.

Will your children participate in the holiday pageant this year?

Yes No Maybe (add details below)

If you have questions or special considerations regarding your children's participation in the holiday pageant this year, please indicate here:

Additional Information About Your Child

Special Needs Note: We include all children in the Religious Education Program. Knowing in advance the special needs of your child can help us plan appropriate supports. It might be that we are unable to accommodate every need, but please, note your request.

I wish to speak with the Religious Educator regarding the special needs of my child: Yes No

Is there anything you think is important for us to know about your child?

Medical Information and Consent

In the event of a medical emergency and I, parent/guardian, am not available, the Religious Education staff of Chequamegon Unitarian Universalist Fellowship has permission to treat and/or transport my child for medical attention.

Preferred hospital:

Primary Care Physician's Name:

Phone number:

My child/children have allergies:

Yes No

If yes, please indicate the name of your child with allergies, describe the allergy, and whether or not your child carries any special equipment (such as an EpiPen).

Parent/Guardian/Care Giver signature:

Date:

Use of Images

Chequamegon Unitarian Universalist Fellowship may occasionally share photos of RE programs in fellowship communications (e.g. the fellowship newsletter). Please check the box below ONLY if you wish for the fellowship to exclude images of your child(ren) from fellowship communications.

Opt out of images Please DO NOT include images of my child(ren) in fellowship communications.

End of form. Thank you!

CUUF Religious Education Registration Form 2024–25

Description

CUUF Religious Education Registration Form 2024–25

Description

Please Fix the Following