USNH Religious Education 2023-2024    Registration form
Sign up here to participate in any or all aspects of Religious Education for the 2023-24 congregational year.  Classes will be in person at least 3 Sundays per month, with monthly "multi-generational" services and chapels for younger children.  
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Child/youth's First and Last Name *
Child/youth's Age On September 1, 2023 *
child/youth's date of birth
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Child/youth's School Grade for 2023-24 School Year *
Please list any special needs such as MEDICATIONS, LIFE-THREATENING ALLERGIES and/or other pertinent information that the RE program/teachers should know about this child/youth.
Has this child/youth received all vaccinations recommended by the CDC and CT Dept. of Public health?
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Publicity Consent - Please indicate below your consent to use photos/video of or writing/artwork created by your child in the following spaces (check all that apply):
Parent or Guardian Full Name(s) - Please list all adults who should receive communications from the RE office *
Parent or Guardian mailing address (if more than one, please indicate which parent lives at which address) *
Parent or Guardian email address(es)  Please list parent/guardian's name(s) followed by preferred email address *
Parent or Guardian phone #'s (please indicate if mobile or land line and which name is connected to which #) *
Did your family pledge to USNH for 2023-2024? (If not, the Director of Lifespan RE will be in touch about a small sliding scale RE fee) *
By typing my name below (in lieu of signature), I authorize the registration of my child in the 2023-24 USNH RE program *
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