2017 - 2018 Religious Exploration Family Registration Form
Thank you for registering your family for this year’s Religious Exploration Ministry.
Our Vision is to have a quality religious exploration ministry where children eagerly go to pursue their spiritual paths. The following classes will be offered this year:

[] Nursery (Infant-2 yrs)
[] Preschool (2 yrs-4 yrs)
[] Lower Elementary (PreK-1st Gr)
[] Mid Elementary (2nd-3rd Gr)
[] Upper Elementary (4nd-5th Gr)
[] Middle School (6th-8th Gr)
[] High School (9th-12th Gr)

Child # 1 (Please Include As Much Information as Possible) *
Your answer
Child # 2 (Please Include As Much Information as Possible)
Your answer
Child # 3 (Please Include As Much Information as Possible)
Your answer
Child # 4 (Please Include As Much Information as Possible)
Your answer
(If applicable) Middle & High School participants -- please complete the following (per participant):
Your answer
I give permission for my child to be contacted via call, text, email or through social media by designated youth advisors from the Unitarian Universalist Community Church.
Your answer
Please Include the Following Parent Information: *
Your answer
**IMPORTANT** Each family that makes use of the RE program (Nursery through High School) will be REQUIRED to volunteer in a classroom capacity. The program will be using a “co-op model” with a "Lead Teacher" (trained, curriculum implementer) and an "Assistant Teacher" (parent volunteer). Therefore, at least one parent/guardian from each family will need to volunteer to be an assistant teacher (or "Teacher" if pre-determined) roughly once per month. Aside from classroom responsibilities, there are other opportunities to help with the RE program; for example, serving on a subcommittee, assisting with an event, chaperoning, assist with driving, etc. ALL HELP IS WELCOME! *
Do you understand your responsibilities, as a parent, to the program?
Alternative Emergency Contact: *
Your answer
Release: *
I hereby give permission for my child(ren) to participate in the Sunday Religious Education Ministry sponsored by the Unitarian Universalist Community Church. I understand that child(ren) will be involved in physical activity at the church and may occasionally go outside to the playground.
I give permission for my child(ren)’s photo to appear in the following church publications with the understanding that his/her name does not appear with the photo:
On the UUCC Website
On Facebook
Inside the church (for example on a bulletin board)
UUCC Glen Allen Behavior Policy
Click or Copy this link to view the Behavior Policy:


I certify that the information submitted is true to the best of my knowledge and I agree to volunteer as indicated above. I also have read and reviewed the UUCC RE Behavior Policy. *
Electronic Signature: Please Include First/Last Name and Date
Your answer
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