Fall 2016 Registration Form for Children & Youth
First Unitarian Church of Baltimore

Registration is a vital part of communicating with families, ensuring the safety of kids in the program, and presenting an accurate picture of our RE program to the Board and the wider denomination.

PLEASE NOTE! Using your "Enter" or "Return" key at any time will submit this form automatically. Please do not use these keys until your form is complete. If you DO accidentally submit your form early, please complete a new form from where you left off in the first one.

Child or Youth #1 ~~~~~~~~~~~~~~~~~~~~~~~~
Please register each child or youth under the age of 18, including infants.
Child or Youth #1
Your answer
Birthdate
(month/day/year)
Your answer
Name of school and school grade
(if applicable)
Your answer
Child or Youth #2 ~~~~~~~~~~~~~~~~~~~~~~~~
Skip this section if you are registering only one child or youth.
Name of child or youth
Your answer
Birthdate
(month/day/year)
Your answer
Name of school and school grade
(if applicable)
Your answer
Child or Youth #3 ~~~~~~~~~~~~~~~~~~~~~~~~
Skip this section if you are registering only two children or youth.
Name of child or youth
Your answer
Birthdate
(month/day/year)
Your answer
Name of school and school grade
(if applicable)
Your answer
Child or Youth #4 ~~~~~~~~~~~~~~~~~~~~~~~~
Skip this section if you are registering only three children or youth.
Name of child or youth
Your answer
Birthdate
(month/day/year)
Your answer
Name of school and school grade
(if applicable)
Your answer
Contact Information ~~~~~~~~~~~~~~~~~~~~~~~~
Home address (including city, state and zip)
(If child(ren) have multiple homes, please list all in the box below and indicate any details, such as "Mom's house," etc.)
Your answer
Home phone number
Your answer
Child(ren)'s email address
(if applicable)
Your answer
Adult A ~~~~~~~~~~~~~~~~~~~~~~~~
In this section, please list information for one parent, guardian or other adult who brings the above kids to church.
Name
Your answer
Mobile phone number
Your answer
Email address
Your answer
Home phone
(if different than child(ren))
Your answer
Address
(if different than child(ren))
Your answer
Which is the best way to reach you?
Please select your preferred method. Check multiple boxes only if you have no preference between your selections.
Are you interested in volunteering in the classroom this year?
Are you a member of First Unitarian Church?
Adult B ~~~~~~~~~~~~~~~~~~~~~~~~
In this section, please list information for one parent, guardian or other adult who brings the above kids to church.
Name
Your answer
Mobile phone number
Your answer
Email address
Your answer
Home phone
(if different than child(ren))
Your answer
Address
(if different than child(ren))
Your answer
Which is the best way to reach you?
Please select your preferred method. Check multiple boxes only if you have no preference between your selections.
Are you interested in volunteering in the classroom this year?
Are you a member of First Unitarian Church?
Other Adults ~~~~~~~~~~~~~~~~~~~~~~~~
Parent or Guardian
Please list name, phone and email or other contact info for child(ren)'s parent or guardian if adults listed above are not.
Your answer
Tell us about your kids ~~~~~~~~~~~~~~~~~~~~~~~~
Is there anything we should know about your kids?
Allergies, special needs, dietary restrictions, special custody rules, etc.
Your answer
What do you hope your child(ren) will learn or experience this year?
Your answer
I give permission for my child to appear in pictures of religious education activities on the Church and RE websites and promotional materials.
I understand that regular attendance is important for my child and the other children and youth in the program and will strive to make full participation a priority whenever possible. Writing my name in the box below indicates I have completed this form to the best of my knowledge and ability
Your answer
Thank you! ~~~~~~~~~~~~~~~~~~~~~~~~
We welcome all families to participate in our Religious Education Program free of charge. Our program is made possible by the generous financial contributions of church members and friends and classes are led by dedicated volunteers. If you have questions, concerns or suggestions, please contact our Interim Director of Lifespan Religious Education (interimDRE@firstunitarian.net)
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