UUC Children/Youth Registration Form 2022-23

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Welcome to UUC's programs for children and youth!

Completing this form will help the Lifelong Learning Team plan programs tailored for the needs and interests of your families.

We do not charge a fee for Sunday morning programs. You're welcome to make a donation. See options at https://www.uuc.org/giving, and donate to the General Fund.

Parent/Guardian Name(s) *

Parent/Guardian Cell Phone Number(s) *

Parent/Guardian Email Address *

Physical Mailing Address *

Emergency Contact Information (In case parent/guardian cannot be reached, please provide name, relationship to student, and cell phone number here.) *

Do you have an 8th or 9th-grader who will participate in Our Whole Lives (OWL) when offered next? *

OWL is a comprehensive, sexuality and relationship education curriculum. Learn more at https://www.uua.org/re/owl.

Yes

Maybe

Child/Youth 1: Name & Pronouns *

Child/Youth 1: Date of Birth *

YYYY

Child/Youth 1: Grade *

Child/Youth 1: Email Address (if applicable)

Child/Youth 1: Cell Phone Number (if applicable)

This is mostly for the youth, since group texting appears to be the best means of sending reminders and other communication to them.

Child/Youth 1: Allergies, Medical Notes, & Other Special Needs

Child/Youth 1: Interests

This is to help us tailor programs. Examples: being outdoors, theater, dinosaurs, flute, Fortnite, Harry Potter, sailing, baking

Child/Youth 2: Name & Pronouns

Child/Youth 2: Date of Birth

YYYY

Child/Youth 2: Grade *

Child/Youth 2: Email Address (if applicable)

Child/Youth 2: Cell Phone Number (if applicable)

Child/Youth 2: Allergies, Medical Notes, & Other Special Needs

Child/Youth 2: Interests

Child/Youth 3: Name & Pronouns

Child/Youth 3: Date of Birth

YYYY

Child/Youth 3: Grade

Child/Youth 3: Email Address (if applicable)

Child/Youth 3: Cell Phone Number (if applicable)

Child/Youth 3: Allergies, Medical Notes, & Other Special Needs

Child/Youth 3: Interests

Child/Youth 4: Name & Pronouns

Child/Youth 4: Date of Birth

YYYY

Child/Youth 4: Grade

Child/Youth 4: Email Address (if applicable)

Child/Youth 4: Cell Phone Number (if applicable)

Child/Youth 4: Allergies, Medical Notes, & Other Special Needs

Child/Youth 4: Interests

Child/Youth 5: Name & Pronouns

Child/Youth 5: Date of Birth

YYYY

Child/Youth 5: Grade

Child/Youth 5: Email Address (if applicable)

Child/Youth 5: Cell Phone Number (if applicable)

Child/Youth 5: Allergies, Medical Notes, & Other Special Needs

Child/Youth 5: Interests

Throughout the year, there will be opportunities for photos to be taken of children and youth. If the photos are displayed on the church website, children will not be identified by name to ensure the safety and privacy of our children and families. Please make a selection below: *

Yes, I grant the staff and volunteers of the Unitarian Universalists of Clearwater permission to photograph my child(ren).

No, I do not grant the staff and volunteers of the Unitarian Universalists of Clearwater permission to photograph my child(ren).

I agree to abide by the UUC Covenant of Right Relations. *

See here: https://www.uuc.org/unitarian-universalism

Yes

UUC Membership *

I am a UUC member.

I am a UUC pledging friend.

I'm not a pledging friend or member.

I'm not sure about my status.

I'm interested in learning more about becoming a UUC member.

Required

Signature of Parent/Guardian *

Date of Signature *

YYYY