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.
*
MM
/
DD
/
YYYY
Parent/Guardian #1 - Last Name *
First Name *
Address *
City *
Zip Code *
Home Phone
Cell Phone *
Work Phone
Email *
Parent/Guardian #2 - Last Name
First Name
Street Address
City
Zip Code
Home Phone
Cell Phone
Work Phone
Email
Children live with: *
Child #1 - Last Name *
First Name *
Child #1 - Birthdate *
MM
/
DD
/
YYYY
Age today *
Grade as of August 2015 *
Name of school district or private school (if homeschooled, please indicate.)
This helps us plan our Sunday School calendar.
Child #2 - Last Name
First Name
Birthdate
MM
/
DD
/
YYYY
Age today
Grade as of August, 2015
Name of School District or Private School (if homeschooled, please indicate.)
This helps us plan our Sunday School calendar.
Child #3 - Last Name
First Name
Birthdate
MM
/
DD
/
YYYY
Age today
Grade as of August 2015
Name of public school district or private school (if homeschooled, please indicate.)
This helps us plan our Sunday School calendar.
Child #4 - Last Name
First Name
Birthdate
MM
/
DD
/
YYYY
Age today
Grade as of August 2015
Name of School District of Private School (if homeschooled, please indicate.)
This helps us plan our Sunday School calendar.
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.
RE Volunteer
Please consider volunteering in our RE classes or for a one time event.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.