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UU Church of Bloomington Religious Education 2015-2016
Register your child for the August Intersession & 2015-2016 school year
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Parent(s) Name(s)
*
Your answer
Mailing Address
*
Your answer
Family Email Address
*
Your answer
Preferred Phone
Your answer
Child's Name
Your answer
Child's Date of Birth
*
Your answer
School Grade in 2015-2016
*
Your answer
Medical Conditions or Allergies
Your answer
Dietary Restrictions or other Special Needs
Your answer
Which service will your child regularly attend?
*
9:15am
11:15am
WONDER- August Intersession
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Choose
Childcare
Preschool
Art (K-8)
Outdoors (K-8)
Photography (K-8)
School Year RE (September-May)
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Choose
Childcare
World of Wonder (Preschool)
Roots & Wings (K-2)
Spirit of Adventure (3rd-5th)
YUUMS (6th-8th)
YRUU (9th-12th)
I release my child's photo to be included on the Unitarian Universalist Church of Bloomington's website, facebook and/or prologue newlsetter. (Children's names are never included with photo)
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Yes
No
Other:
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