2023-2024 UUCT YRE Registration Form

Please complete this Registration Form for each of your children who may participate in UUCT Religious Exploration programs in 2023-2024.

[For families with multiple children, feel free to use "same" as it may be applicable after completing the first child's form.]




You may direct any questions or curiosities to Alessandra, the Director of Religious Exploration, at religious.exploration@uutallahassee.org 

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Child's Name *
Child's Pronouns *
Required
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Grade in School *
Parent(s) / Guardian(s) 

Please list all who may accompany your child at UUCT.
 *
Email Address(es) 

If you'd like to include more than one email address, please separate with a comma and space. 

Ex: email@email.com, email2@email.com
 *
Phone Number(s) 

Please feel free to list and label multiple numbers as needed.

Ex: Dad 555-555-5555, Grandma 555-555-5555
 *
Mailing Address
What school is your child attending this year? *
Who can we contact in case of emergency if the parent(s)/guardian(s) listed on this form are unavailable?

Please include name and phone number.
 *
Photos of our RE classes and other UUCT activities are sometimes used on our website, social media, and promotional materials. Per our safety policy, only first names of minors will ever be published with their pictures.

Please indicate your preference regarding this child.
 *
If my child needs emergency medical care and I am not present to arrange for medical care, I grant my permission to the designated responsible adults of the Unitarian Universalist Church of Tallahassee to arrange for appropriate care.
 *
Does your child have any food allergies? 

If yes, please list the allergies and their severity below. 
Please note if they carry any emergency medication.
Does your child have any dietary restrictions (e.g. gluten-free, vegan, vegetarian, kosher, etc.)?

If yes, please list below.
Does your child have any medical conditions other than food allergies that might impact their participation in RE or Youth Group (e.g. diabetes, heart conditions, physical disability, visual impairment, hearing loss, etc.) 

If yes, please list below.
Does your child have any medicine or accessibility equipment that they carry or use regularly (e.g. Epi Pen, inhaler, glucose tabs, wheelchair, crutches, cochlear implant, hearing aids, communication aids, weighted vest, etc.)?

If yes, please list below.
Does your child have any sensory or behavioral health needs that might impact their participation in RE or Youth Group (e.g. sensory processing disorder, autism spectrum disorder, ADHD, anxiety, auditory processing disorder, learning disability, history of self-harm or suicidal ideation, etc.)?

If yes, please list below.
Is there anything going on in your child's life that might impact their behavior or participation in RE or Youth Group (e.g. death in the family, divorce or separation, unemployment, recent move, new sibling, etc.)?

If yes, please list below. 
Please write "contact me" if you would rather speak with the DRE directly.
Is there anything else you'd like for us to know about your child and/or family and what might make UUCT more accessible to them?
How has your child engaged in RE at UUCT in recent years? *
Required
What would your child and/or family really like to see in RE this year?
Would you be willing and able to volunteer in the RE program this year? Check as many as apply.
 *
Required
What other curiosities, comments, or questions might you have about RE at UUCT?
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