Religious Education Registration 2019-2020
Welcome to First Parish in Bedford's religious education programs for infants through high school graduation!  Please complete this form for EVERY child/youth (through grade 12) participating in First Parish in Bedford's Religious Education Program. (If you are registering more than two children/youth, please fill out a second or third form).  It will help us if you complete and submit this form BEFORE September 1, 2019.  Questions? Please contact Deborah Weiner, Interim Director of Religious Education:  dre@uubedford.org . Thank you!
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Email *
Child #1:  Name (last, first, middle initial) *
Child's date of birth: *
Child's grade as of September 1, 2019 *
Does the child have allergies to substances, food or drugs that we should be aware of?  If so, please list here: *
Does the child have emotional or physical differences that would be helpful for our staff and teachers to understand, on a confidential basis?  If so, please indicate here:
Child #2:  Name (last, first, middle initial)
Child's date of birth:
Child's grade as of September 1, 2019
Does the child have allergies to substances, food or drugs that we should be aware of?  If so, please list here:
Does the child have emotional or physical differences that would be helpful for our staff and teachers to understand, on a confidential basis?  If so, please indicate here:
Parent #1 Name (last, first, middle initial) *
Parent #1 Address:  City, State, Zip *
Parent #1 Telephone contact *
Parent #2 Name (first, last, middle initial)
Parent #2 Address:  City, State, Zip
Parent #2 Telephone contact
We occasionally photograph children and youth in our religious education program to promote our programs and/or share with our community.  It is our practice to NOT identify children and youth in these photos.  If you do NOT wish your child to be photographed, please so indicate: *
First Parish in Bedford offers a cooperative religious education program.  We rely on team leadership to support our program.  Parents/guardians are asked to contribute to the ongoing health and vitality of the program by volunteering to support RE through teaching, assisting in a classroom setting, helping in our nursery or Pre-K program, or assisting as a chaperone on Field Trips or overnights.  Please indicate the way(s) in which you will help support the program: *
Required
Is there additional information you would like to add?  Please do so here - and thank you!  If you would like to connect with Deborah Weiner, please email dre@uubedford.org .
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