Faith Development Registration 2022/23
Please register here for all child and youth programs at the First Unitarian Universalist Society of Burlington, including OWL. You may register  up to four children from the same household on this single form. It is very helpful for us to have this up-to-date information about your family as we plan for the year to come!
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What is your full name (first and last) of registering parent/guardian? *
What is your preferred phone contact number(s)? (Please label as home, cell, or work.) *
What is your preferred email address? *
What is your mailing address? *
What is the name of a second parent/guardian or caregiver (if applicable)
What is their preferred phone contact (if applicable)? (Please label as home, cell, or work.)
What is their preferred e-mail address (if applicable)?
What is their mailing address, if different than yours?
Do you prefer that all contact related to your child's participation at FUUSB be copied to both parents listed here (If applicable), or is it preferred that some email lists include only the registering parent?
What is the name of the (first) child you are registering? *
Child's preferred name/nickname?
Child's preferred pronouns?
Child's DOB? *
MM
/
DD
/
YYYY
Child's grade or equivalent as of March 2023? *
Please check if  the only program this child is registering for is  OWL (Our Whole Lives), and your family doesn't currently plan to participate in the congregation more broadly. (You will always be welcome, regardless of answer!)
Does the child  have any allergies. sensitivities or medical conditions we should be aware of? Is the child vegetarian or vegan?
Does the child have any special needs or considerations we should be aware of?
Please review the following statement and check " I Accept." By registering, you allow your children to participate in activities that may be photographed or videotaped.  FUUSB occasionally posts printed images on bulletin boards, maintains a website and social media presence and disseminates its news and events electronically.  Still photos and videos of live streamed in-person events may become part of our Youtube channel.  Names will not be included in these materials. Screenshots or recordings of virtual meetings will not be created by FUUSB volunteers or staff without advance consent of parents. *
Required
Are you registering another child?
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