Religious Education Registration & Medical Form 2015-2016
Our Goal: The Religious Education (RE) teachers and the RE Committee are committed to nurturing the ethical, intellectual, and spiritual lives of both children and adults. We want your child to ask you to take them to church on Sunday morning.

Please complete the following information to register your child for RE class. Let us know if you have any special concerns for your child.

Please complete a separate registration form for each child/youth you are enrolling.

A digital signature is required at the bottom of the form and please don't forget to press SUBMIT at the bottom of the form to complete your registration.

If you have any questions or problems completing this form, contact Theresa Pizzuto, Director of Religious Education, at uufc.dre@gmail.com or (864) 508-0617.
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Child / Youth Registration
Child/Youth Last Name *
Child/Youth First Name *
Birth Date *
MM
/
DD
/
YYYY
Grade *
Age *
Gender *
Please list any allergies, medical concerns, learning issues, special needs, or medications
Parent / Guardian #1 Last Name *
Parent / Guardian #1 First Name *
Relationship to Child *
Email address *
Best Phone *
Alternate Phone
Street Address *
City *
State *
Zip Code *
Best Contact Methods *
Please check all that apply
Required
Parent / Guardian #2 First Name
Parent / Guardian #2 Last Name
Relationship to Child
Email address
Best Phone
Alternate Phone
Street Address
City
State
Zip Code
Best Contact Methods *
Please check all that apply
Required
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