Registration Form - Religious Education for Children & Youth
For safety and administrative reasons, the Religious Education Committee asks that you complete this registration form. Only one form is needed per family. Please complete and submit online. If you prefer to hand-write the form, a printable form is available on the USH website, or you can find it at the Welcome Table. Just complete the form and return to the DRE, classroom teacher or mail your completed form to Rayla D. Mattson, Director of Religious Education, USH, 50 Bloomfield Ave, Hartford, CT, 06105.
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Parent/Guardian #1 - Last Name *
Your answer
First Name *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Home Phone
Your answer
Cell Phone *
Your answer
Work Phone
Your answer
Email *
Your answer
Parent/Guardian #2 - Last Name
Your answer
First Name
Your answer
Street Address
Your answer
City
Your answer
Zip Code
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Email
Your answer
Children live with: *
Child #1 - Last Name *
Your answer
First Name *
Your answer
Child #1 - Birthdate *
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Age today *
Your answer
Grade as of August 2015 *
Your answer
Name of school district or private school (if homeschooled, please indicate.)
This helps us plan our Sunday School calendar.
Your answer
Child #2 - Last Name
Your answer
First Name
Your answer
Birthdate
MM
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DD
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YYYY
Age today
Your answer
Grade as of August, 2015
Your answer
Name of School District or Private School (if homeschooled, please indicate.)
This helps us plan our Sunday School calendar.
Your answer
Child #3 - Last Name
Your answer
First Name
Your answer
Birthdate
MM
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DD
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YYYY
Age today
Your answer
Grade as of August 2015
Your answer
Name of public school district or private school (if homeschooled, please indicate.)
This helps us plan our Sunday School calendar.
Your answer
Child #4 - Last Name
Your answer
First Name
Your answer
Birthdate
MM
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DD
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YYYY
Age today
Your answer
Grade as of August 2015
Your answer
Name of School District of Private School (if homeschooled, please indicate.)
This helps us plan our Sunday School calendar.
Your answer
Photo Permission *
Please check the YES box if you give the Religious Education Program permission to use your child(ren)'s photographs in various publications created by and for USH. Please note: We will not include names of children with photos.
Additional Information
In this box, please add anything you want our DRE to know about, i.e., allergies, developmental issues, gender identity, or any other personal concerns. This helps us to better meet the needs of your child(ren). If you would prefer to share this information in person, please indicate and our director of religious education will be in touch.
Your answer
RE Volunteer
Please consider volunteering in our RE classes or for a one time event.
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