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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
Please list names of registered children
Parent/Guardian Name (1)
Relationship to Child/Youth
Home Phone Number
Type "None" if not applicable
Cell Phone Number
Type "None" if not applicable
Mailing Address
Email address
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