Registration Form for the 2022-2023 year for PreK to Grade 5 at UUCC

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Please use this registration form to register for PreK through 5th grade classes for the 2022-2023 church year.

Parent/Guardian Name(s) *

Mailing Address (street, city, state, zipcode) *

Parent Phone number *

Parent Email Address *

Student Name *

Student date of birth *

YYYY

Student Grade *

3 year old PreK

4 year old PreK

Kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

In 2022-2023, we are able to offer two mixed age classrooms: a PreK-Kindergarten mini Spirit Play classroom and a Grade 1-5 Spirit Play classroom. Please see https://uucolumbia.net/childrens-religious-education/ for more information.

My child will attend: *

Mini Spirit Play, ages 3-6, grades PreK-Kindergarten

Spirit Play, ages 6-11, grades 1-5

We need teachers and assistants for all religious education gatherings. Are you willing to be a leader or assistant for one of our Spirit Play classes or one of our youth or junior youth classes?

I am willing to help serve our children or youth *

I am willing to lead programs

I am willing to assist

I am not available to help this year

Other:

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 *

I give consent for my child to have pictures taken

I do not give consent for my child to have pictures taken

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

Submit

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