Religious Education Program Registration 2019-2020
Welcome to the Unitarian Universalist Church of Buffalo! Thank you for registering your children and youth in our program! Registration gives us vital information and ensures that we can best meet the needs of our child in our classrooms. It also contributes to increased accountability for our program. We are so glad you're here and we look forward to serving your family this year!
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Child #1 Name *
Child #1 Date of Birth *
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Child #1 School Grade/Homeschool
Child #1 Allergy and Special Needs Information *
Child #2 Name
Child #2 Date of Birth
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DD
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YYYY
Child #2 School Grade/Homeschool
Child #2 Allergy and Special Needs Information
Child #3 Name
Child #3 Date of Birth
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DD
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YYYY
Child #3 School Grade/Homeschool
Child #3 Allergy and Special Needs Information
Child #4 Name
Child #4 Date of Birth
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DD
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YYYY
Child #4 School Grade/Homeschool
Child #4 Allergy and Special Needs Information
Parent/Caregiver #1 Name *
Parent/Caregiver #1 Phone *
Parent/Caregiver #1 Email *
Parent/Caregiver #1 Home Address *
Parent/Caregiver #2 Name
Parent/Caregiver #2 Phone
Parent/Caregiver #2 Email
Parent/Caregiver #2 Home Address
Emergency Contact Information (Name, Phone, Email, Relationship) *
Is there any additional information about your child that can help us serve your family?  
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