UUCB Religious Education Registration 2019-2020

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete ONE form per family. You will have the opportunity to enter each child/youth within this form. You should receive a follow up email with information for payment/scholarship information withing 48 hours of registration. Please contact Director of Religious Education, Adrienne Summerlot dre@uubloomington.org if you have any questions. THANK YOU!!!

Child/Youth's Information

CHILD ONE

First Name *

Last Name *

Preferred Name and Pronouns (to display on nametag) ie: Susie (she/her/hers)

Date of Birth (xx/xx/xxxx) *

Current School Grade(or home school equivalent) as of August 2019 *

9:15am- Caring Connections (Childcare)

9:15am- World of Wonder (Preschool)

9:15am- Roots and Wings (Kindergarten +)

11:15am- Caring Connections (Childcare)

11:15am- World of Wonder (Preschool)

11:15am- Roots and Wings (K-2nd grade)

11:15am Curiosity Club (3rd-5th grade)

11:15am- Star Wars (6th-8th Grade)

12:30pm- High School Youth Group (9th-12th grade)

Coming of Age (9th & 10th grade) NOTE: Prior approval must be obtained

Required

Special Needs (Medical, Dietary, Accessibility, etc)

Photo Release *

Yes, I release my child’s photo to be included on the Unitarian Universalist Church of Bloomington’s website, facebook and/or prologue newsletter. (Children’s names are never included with photo)

No, I would prefer for my child’s photo to not be taken or used

Do you have additional children to register? *

Yes

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms