UUCT Religious Exploration Registration 2019 - 2020
For safety and administrative reasons, please complete this registration form.
Email address *
Untitled Title
Parent/Guardian Information
Your Name *
First & Last Name
Your answer
Secondary Parent/Guardian Contact Name
First & Last Name
Your answer
Primary Email *
Your email address
Your answer
Secondary Email
Secondary parent/guardian email address, if they would also like to get RE updates
Your answer
Primary Phone Number *
Your cell number if you have one, or best number to reach you at
Your answer
Secondary Phone Number
Number we should call if we have trouble reaching your primary number
Your answer
Primary Mailing Address *
Your answer
Contact Preference *
Please rank which of these is the best way to get in touch with you:
Phone Call / Message
Facebook Messenger
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