UUCT Religious Exploration Registration 2021-2022
Hello and Bright Blessings!

Thank you for taking the time to fill out this registration form, which will help us serve your children to the best of our abilities at UUCT this year. Please fill out one form per child. Feel free to contact me directly with any questions or concerns.

In Joy and Adventure,
Helen Cassara
Director of Religious Exploration
850-329-0602
uuctdre2810@gmail.com
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Email *
Parent(s)/Guardian(s) (Please list all) *
Parent/Guardian Phone Number(s) *
Mailing Address *
Child's Name *
Child's Date of Birth *
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/
DD
/
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Child's Pronouns *
Required
Child's Grade in School (Or approximate home school equivalent, 2021-2022 School Year) *
What school is your child attending this year? *
Who can we contact in case of emergency if the parent(s)/guardian(s) listed on this form are unavailable? (Name and phone number.) *
Photos of our RE classes and other UUCT activities are sometimes used on our website, social media, and promotional materials. Please indicate your preference for how such photos may be used. *
We never post children's full names. Faces and identifying features will be blurred in the case of group photos where not all participants are authorized to be posted.
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