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Religious Education Registration 2018-19  
Please complete this form for every child/youth (through grade 12) participating in First Parish in Bedford's Religious Education Program. (If you are registering more than two children/youth, please fill out a second or third form).  It will help us if you complete and submit this form BEFORE September 12, 2018.  Questions? Please contact Deborah Weiner, Interim Director of Religious Education:  dre@uubedford.org . Thank you!
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Email *
Child #1:  Name (last, first, middle initial) *
Child's age as of September 9, 2018 *
Child's grade as of September 9, 2018 *
Does the child have allergies to substances, food or drugs that we should be aware of?  If so, please list here: *
Does the child have emotional or physical differences that would be helpful for our staff and teachers to understand, on a confidential basis?  If so, please indicate here:
Child #2:  Name (last, first, middle initial)
Child's age as of September 9, 2018
Child's grade as of September 9, 2018
Does the child have allergies to substances, food or drugs that we should be aware of?  If so, please list here:
Does the child have emotional or physical differences that would be helpful for our staff and teachers to understand, on a confidential basis?  If so, please indicate here:
Parent #1 Name (last, first, middle initial) *
Parent #1 Address:  City, State, Zip *
Parent #1 Telephone contact *
Parent #2 Name (first, last, middle initial)
Parent #2 Address:  City, State, Zip
Parent #2 Telephone contact
First Parish in Bedford relies on team leadership to support our religious education program.  Parents/guardians are asked to contribute to the ongoing health and vitality of the program by volunteering to support RE through teaching, assisting in a classroom setting, helping in our nursery or First Steps (Kindergarten/Grade 1) program, or assisting as a chaperone on Field Trips or overnights.  Please indicate the way(s) in which you will help support the program: *
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Is there additional information you would like to add?  Please do so here - and thank you!
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