UUCM Parent/Guardian Registration
Please fill in the information for the 1st parent/guardian
Contact Jamie Ferrier, UUCM Office and Faith Formation Administrator for assistance. -
office@uucm.org
* Required
Please list names of registered children
*
Your answer
Parent/Guardian Name (1)
*
Your answer
Relationship to Child/Youth
*
Your answer
Home Phone Number
*
Type "None" if not applicable
Your answer
Cell Phone Number
*
Type "None" if not applicable
Your answer
Mailing Address
*
Your answer
Email address
Your answer
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