2018-2019 Children and Youth RE Enrollment
At the Unitarian Society of Santa Barbara, we want to keep your children safe and do all that we can to make them feel comfortable here. Please take a moment to answer these questions to provide us with the information we need to do that.
Child one's name *
Your answer
Child one's birthdate *
Your answer
Child one's grade *
Your answer
Does child one have health health concerns? *
Your answer
Child one's gender
How can we help child one feel most comfortable in our classes?
Your answer
Child one's parent or guardian names *
Your answer
Child one's parent or guardian phone number *
Your answer
Child one's parent or guardian's email *
Your answer
Who may pick up this child? *
Your answer
Child two's name
Your answer
Child two's birthdate
Your answer
Child two's grade
Your answer
Does child two have health concerns?
Your answer
How can we make child two comfortable in our classrooms?
Your answer
Child two's gender
Child two's parent or guardian names
Your answer
Parent or guardian phone number
Your answer
Parent or guardian email
Your answer
How can we make child two comfortable in our classrooms?
Your answer
Who may pick up this child? *
Your answer
Child three's name
Your answer
Child three's birthdate
Your answer
Child three's grade
Your answer
How can we help child three feel comfortable in our classrooms?
Your answer
Child three's gender
Child three's parent or guardian names
Your answer
Child three's parent or guardian phone number
Your answer
Child three's parent or guardian email
Your answer
Does child three have health concerns?
Your answer
Who may pick up this child? *
Your answer
Other children to enroll. Please list their names, birthdates, grades and relevant guardianship information.
Your answer
I agree to release Unitarian Society of Santa Barbara, its staff and volunteers from any and all liability which may arise for damages, loss or injuries, either to person or property, which my child(ren)/youth may sustain while participating in childcare and/or Religious Education activities at Unitarian Society of Santa Barbara. I agree to assume responsibility for any liability which may arise for damages, loss or injuries which may be caused or contributed to by my child(ren)/youth to the person or property of others at Unitarian Society of Santa Barbara. *
May we have permission to use photographs your child(ren)? No names will be attached to photographs. *
I give my permission for my child(ren) to walk with their class to areas near the Unitarian Society of Santa Barbara such as Alice Keck Park Memorial Gardens, Alameda Park and Kids' World on Sunday mornings under the supervision of their teachers or advisors.
I, the parent or guardian of the child(ren) listed below, give my consent for the staff/adult volunteers of the Children's Religious Education Program of the Unitarian Society of Santa Barbara to take any reasonable action, including any necessary medical treatment, to help ensure the safety, health, and welfare of my child(ren) at any Unitarian Society of Santa Barbara sponsored event. This release covers all Unitarian Society-sponsored events your child may attend during the church year. *
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