JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
UUC Religious Enrichment Registration Form 2020-2021
Welcome to UUC's Religious Enrichment Program!
We do not charge a fee for the program. If you would like to make a donation, see options at
https://www.uuc.org/giving
, and donate to the General Fund.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent/Guardian Name(s)
*
Your answer
Parent/Guardian Cell Phone Number(s)
*
Your answer
Parent/Guardian Email Address
*
Your answer
Physical Mailing Address
*
Your answer
Emergency Contact Information (In case parent/guardian cannot be reached, please provide name, relationship to student, and cell phone number here.)
*
Your answer
Child/Youth 1: Name & Pronouns
*
Your answer
Child/Youth 2: Name & Pronouns
Your answer
Child/Youth 3: Name & Pronouns
Your answer
Child/Youth 4: Name & Pronouns
Your answer
Child/Youth 5: Name & Pronouns
Your answer
Child/Youth 1: Date of Birth
*
MM
/
DD
/
YYYY
Child/Youth 2: Date of Birth
MM
/
DD
/
YYYY
Child/Youth 3: Date of Birth
MM
/
DD
/
YYYY
Child/Youth 4: Date of Birth
MM
/
DD
/
YYYY
Child/Youth 5: Date of Birth
MM
/
DD
/
YYYY
Child/Youth 1: Grade
Your answer
Child/Youth 2: Grade
Your answer
Child/Youth 3: Grade
Your answer
Child/Youth 4: Grade
Your answer
Child/Youth 5: Grade
Your answer
Child/Youth 1: Email Address (if applicable)
Your answer
Child/Youth 2: Email Address (if applicable)
Your answer
Child/Youth 3: Email Address (if applicable)
Your answer
Child/Youth 4: Email Address (if applicable)
Your answer
Child/Youth 5: Email Address (if applicable)
Your answer
Child/Youth 1: Allergies/Medical Notes
Your answer
Child/Youth 2: Allergies/Medical Notes
Your answer
Child/Youth 3: Allergies/Medical Notes
Your answer
Child/Youth 4: Allergies/Medical Notes
Your answer
Child/Youth 5: Allergies/Medical Notes
Your answer
Throughout the year, there will be opportunities for photos to be taken of children and youth. Should the photos be displayed on the church website, they 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).
Signature of Parent/Guardian
*
Your answer
Date of Signature
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Unitarian Universalists of Clearwater.
Report Abuse
Forms
