JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2021-22 First Unitarian Child/Youth Religious Education Registration
Please register children of ALL AGES, infant through high school, for the purposes of keeping accurate church records and planning for our future!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
With the current Covid-19 infection rate in Omaha, as of the date you are filling out this registration, would you be comfortable with your child(ren) being inside the church in socially distanced small groups with everyone masked?
*
Yes
No
Other (opportunity to explain in next question field)
Is there anything else you'd like to add about your family's availability to participate in Children's RE during the current phase of the pandemic?
Your answer
Child (1) First & Last Name:
*
Your answer
Child (1) Pronouns (he/she/they etc)
Your answer
Birth Date:
*
MM
/
DD
/
YYYY
Grade Level:
Your answer
List of Allergies:
Your answer
Child (2) First & Last Name:
Your answer
Child (2) Pronouns (he/she/they etc)
Your answer
Birth Date:
MM
/
DD
/
YYYY
Grade Level:
Your answer
List of Allergies:
Your answer
Child (3) First & Last Name:
Your answer
Child (3) Pronouns (he/she/they etc)
Your answer
Birth Date:
MM
/
DD
/
YYYY
Grade Level:
Your answer
List of Allergies:
Your answer
Child (4) First & Last Name:
Your answer
Child (4) Pronouns (he/she/they etc)
Your answer
Birth Date:
MM
/
DD
/
YYYY
Grade Level:
Your answer
List of Allergies:
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of First Unitarian Church of Omaha.
Report Abuse
Forms
