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2022-2023 REGISTRATION FORM 

Thank you for registering for RE! Here’s the reasons we ask these questions.

1. Accurate contact information is still vital to the work I do. Especially  during a pandemic when things could change at a moment’s notice. 

2. Registration information helps me determine what the children and  families might need for supply use every year. If we have an influx of  toddlers, I know I need to invest in toddler toys and educational items. If  we have a large youth group, I need to let our coordinator know, etc. It  helps me plan for the year ahead. 


3. Emergencies/Allergies. For your child(ren)’s safety, having emergency data  and food allergies is essential for keeping your family safe while at church.


Email *
Parent/caregiver name(s) and pronouns:
*
Phone numbers: *
Best email address for the family *
Child's name, pronouns, and birthdate *
Child's name, pronouns, and birthdate
Child's name, pronouns, and birthdate
Child's name, pronouns, and birthdate
Mailing Address *
Allergies, medical, or other issues: Please provide any information that will help us  ensure a safe classroom experience; and any other medical, hearing/vision/attention  difficulties, or personal concerns. Please indicate which child is being described.

Permissions

I give UU Church of Belfast staff or volunteers permission to release the above  information about my child(ren) to medical authorities and to obtain medical  treatment when I cannot be reached or when delay would be dangerous to my child’s  (children’s) health.  


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Permissions

I give UU Church of Belfast staff or volunteers permission to post photographs of my  child(ren) on the church’s website or in other public venues under the condition that  my child(ren) will not be individually identified. 


 


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