Registration Form for the 2021-2022 year for PreK to Grade 5 at UUCC
Please use this registration form to register for PreK through 5th grade classes for the 2021-2022 church year.
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Parent/Guardian Name(s) *
Mailing Address (street, city, state, zipcode) *
Parent Phone number *
Parent Email Address *
Student Name *
Student date of birth *
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/
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/
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Student Grade *
Some parents have indicated a desire for an in-person Sunday morning option (currently limited attendance, outside & masked, weather dependent). Other parents have indicated a desire for a virtual family chapel. Please help us identify what would work for YOUR family.
My child will attend: *
Prefer
Willing
Not Possible
Sundays in person, 10:00-11:00 am
Sundays virtual, 12:00-12:15 pm
Weekday after school virtual
Weekday evening before bed virtual
These are the possible times my family would attend a virtual 15-20 minute family chapel *
Prefer
Willing
Not Possible
Tuesday 4 pm
Tuesday 7:30 pm
Wednesday 4 pm
Wednesday 7:30 pm
Thursday 4 pm
Thursday 7:30 pm
Friday 4 pm
Sunday 12 pm
We need teachers and assistants for this all-ages virtual gathering. Are you willing to be a leader or assistant for this class?
I am willing to help serve our youngest children *
Student Allergies/Medications
How can we best help your student succeed in class?
Photo Consent
We occasionally take photos of children during UUCC religious education classes and or worship services for use online and in publicly printed materials. Please indicate permission to take your child(ren)'s picture.
Photo Consent *
Required
Release of Liability
I understand that it is my responsibility to pick up my child(ren) promptly at dismissal time, or to delegate another member of the congregation to do so.  I understand that I am responsible for the supervision of my child(ren) at UUCC at all times outside of RE class time.  I release UUCC from any and all liability.
Electronic Signature
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