Registration Form for 8th & 9th Grade OWL 2021-2022 at UUCC

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Please use this registration form to register for the 8th and 9th grade Our Whole Lives (OWL) class for the 2021-2022 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 *

8th grade

9th grade

We will likely need to schedule two concurrent classes of middle school OWL, due to the number of potential students and covid restrictions as defined by the Regathering taskforce. Please respond to the next question for each option with Prefer, Willing, or Not Possible.

My child will attend: *

Prefer

Willing

Not Possible

October thru May, Sundays, 4:00-5:30 pm

February through May, Sundays (4-5:30) & Wednesdays (6:30-8)

Allergies/Medications

How can we best help your child/children 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/children to have pictures taken

I do not give consent for my child/children 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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