Registration Form for 2021-2022 classes for 9th-12th grade at UUCC

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Please use this registration form to register for UUCC's coming of age class, Quest, for the 2021-2022 church year. If you or your child is in 10-12 grade, you may also indicate interest in a high school OWL class in the spring.

Parent/Guardian Name(s) *

Mailing Address (street, city, state, zipcode) *

Parent Phone number *

Parent Email Address *

Student Name *

Student date of birth *

YYYY

Student Email Address

Student Grade *

9th grade

10th grade

11th grade

12th grade

Quest class attendance *

I will (or my child will) attend Quest class this year

I will not (or my child will not) attend Quest class this year

I (or my child) would like the option to attend Quest class next year

I (or my child) attended Quest class in a previous year

I am (or my child is) interested in attending the high school (10-12 grade) OWL class this spring

Required

Allergies/Medications

How can we best help you or your student succeed in class?

Photo Consent

We occasionally take photos of children or youth 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.

Parent Electronic Signature

Submit

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