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LCUUC and United UUC Religious Education Class Registration 2021-22
Please fill out this form to indicate your potential participation in the 2021-22 Religious Education (RE) Program. You will be communicated with once an RE leader is in place.
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Email *
Parent/Guardian #1 Name & Pronouns *
Parent/Guardian #1 email address *
Parent/Guardian #1 Best contact phone # *
Parent/Guardian #1 mailing address
Parent/Guardian #2 Name & Pronouns
Parent/Guardian #2 email address
Parent/Guardian #2 best contact phone #
Parent/Guardian #2 mailing address
#1 Child Name & Pronouns
#1 Child birth date
MM
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DD
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YYYY
#1 Child grade in school
#1 Child email to be used for zoom RE class invites
#1 Child attendance preferences (check all that apply)
#2 Child Name & Pronouns
#2 Child birth date
MM
/
DD
/
YYYY
#2 Child grade in school
#2 Child email to be used for zoom RE class invites
#2 Child attendance preferences (check all that apply)
#3 Child Name & Pronouns
#3 Child birth date
MM
/
DD
/
YYYY
#3 Child grade in school
#3 Child email to be used for zoom RE class invites
#3 Child attendance preferences (check all that apply)
#4 Child Name & Pronouns
#4 Child birth date
MM
/
DD
/
YYYY
#4 Child grade in school
#4 Child email to be used for zoom RE class invites
#4 Child attendance preferences (check all that apply)
PHOTO RELEASE: I agree to allow photographs of my child/children to be posted on our church website, church communications, or other church social media. Their names will not be listed in any of these images without designated permission for the event. Your signature below signifies your understanding of, and agreement to, all of the above. If you will be submitting this online, your typed name will function as a signature. *
With which congregation is your family affiliated?
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Contributing to our Religious Education Ministry: There is no fee to register children and youth for our program. We do ask each family to contribute to our RE programming through service and for one adult family member to volunteer each year (unless an exemption has been granted by the DRE). Please select how one person in your home will contribute to the program this year: *
Required
Any additional concerns or information you would like the RE program leaders to know about your child(en):
I authorize my child(en) to use the Zoom meeting platform for online RE lessons. I/We as parents/guardians are responsible for making sure the meetings will not be recorded by our child unless prior permission from the Director of Religious Education is obtained. The zoom class will never consist of a 1:1 ratio of teacher/student for safety compliance. *
I certify that all of the information on this registration form is accurate and may be used for placement of my child in the LCUUC online program this year. -Please "sign" name & date (only one parent/guardian required) *
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