2017-18 Children/Youth Religious Education Registration Form
Welcome families with children and youth! We’re glad you’re joining us for religious education!

Please thoroughly complete this form to register your child(ren) or youth into NSUC's Religious Education programs. All children from nursery through high school youth group must be registered. The information you provide helps us create an engaging and supportive faith formation experience in a loving and safe environment.

Visiting families are welcome to bring their children to the program while they get acquainted with us. Visitor forms can be used for the first three visits, after which full registration with this form is required.

You do not have to be a member to register your child. Registration is ongoing throughout the year. There is no registration fee. However, please consider the value of these programs when you determine your yearly pledge to NSUC.

Our religious education program is dependent upon volunteer participation to operate. The most effective way to instill your values in your child is by your actions. You can model the importance of religious education for your child by your own participation and volunteering your time. Furthermore, when more people volunteer, the load is lighter for everyone, and there is more of a sense of teamwork among members. We have paid teaching assistants in the elementary-level classrooms and need three volunteer teachers (each teaching one Sunday per month) for each classroom.

This year we are asking for details of your child or youth's musical abilities and interests. We will share this information with the music staff, so they can invite your child to participate in the various worship services and events throughout the year.

PARENT/GUARDIAN INFORMATION
Parent/Guardian 1 - First & Last Name
Your answer
Parent/Guardian 1 - Email Address
Your answer
Parent/Guardian 1 - Preferred Phone Number
Your answer
Parent/Guardian 1 - Membership
Parent/Guardian 1 - Preferred Volunteer Paths
Volunteer positions involving direct contact with children/youth are reserved for NSUC members who have been participating with the congregation for at least one year. Those working with high schoolers must be at least 25 years old.
Required
Parent/Guardian 2 - First & Last Name
In a situation of sole custody, you may put "N/A" for the Parent/Guardian 2 fields or list another caretaker, such as a grandparent.
Your answer
Parent/Guardian 2 - Email Address
Your answer
Parent/Guardian 2 - Preferred Phone Number
Your answer
Parent/Guardian 2 - Membership
Parent/Guardian 2 - Preferred Volunteer Paths
Choose "Other" and type "N/A" in the case of sole custody.
Required
Our family has pledged to NSUC for 2017-18.
Please provide any family information below that may help us serve your family better, such as a change in family situation (e.g., recent divorce or move), additional caretakers who may be with the child frequently, etc.
Please contact the Education Office at dre@nsuc.org or 847-235-1955 if you have extensive details or would like to discuss your family situation.
Your answer
CHILDREN'S RELIGIOUS EDUCATION REGISTRATION
Enter information for babies through 8th graders here. Go to Youth Group section to enter youth in grades 9-12.
Which of your children will be participating in Junior Choir?
Junior Choir meets on Sunday mornings at 11:30am-12:15pm and sings during all-ages worship services. Children in kindergarten through 8th grade are welcome. Junior Choir is part of the larger music program at NSUC, and this information will be shared with Timothy Mah, Junior Choir Director.
Your answer
If your child sings or plays an instrument and would be interested in providing special music for worship services occasionally, please list their name and talent here.
This information will be shared with Rev. Lucas Hergert and Stephen Blackwelder, Music Director.
Your answer
Would anyone in your family be interested in participating in Destination Imagination on Sunday afternoons?
DI's mission is to teach students the creative process and empower them with the skills needed to succeed in an ever-changing world. The projects provided by the program provide opportunities for children to practice teamwork and problem solving and to build relationships with one another and their coaches. Learn more here: https://www.destinationimagination.org/.
List anyone who will be participating in Our Whole Lives for 7th & 8th Graders this year.
OWL is a comprehensive sexuality education program created by the Unitarian Universalist Association and the United Church of Church to support young people in developing relationship and decision-making skills, understanding their bodies, and understanding social and cultural challenges. This class will meet Sundays at 8:30-9:55am, before worship.
Your answer
If any of your children have allergies (food, environmental, latex, etc.), medical conditions, or special needs, please specify here. Include any helpful tips for teachers working with your children and specify which child.
Your answer
Child #1 - First & Last Name
Your answer
Child #1 - Birthdate
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Child #1 - 2017-18 Grade in School
Child #2 - First & Last Name
Your answer
Child #2 - Birthdate
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Child #2 - 2017-18 Grade in School
Child #3 - First & Last Name
Your answer
Child #3 - Birthdate
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Child #3 - 2017-18 Grade in School
Child #4 - First & Last Name
Your answer
Child #4 - Birthdate
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Child #4 - 2017-18 Grade in School
Child #5 - First & Last Name
Your answer
Child #5 - Birthdate
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Child #5 - 2017-18 Grade in School
YOUTH GROUP REGISTRATION
Youth Group is for people in grades 9-12 and is offered on Sunday mornings during worship when there is not an all-ages service. Youth are expected to attend worship service through the Message for All Ages before going to the youth room.

Completing the youth email and cell phone fields gives permission to the church's representatives to use the youth's email address and cell phone number for relevant communications, in addition to the parents' contact information.

1. Practice the Seven Principles of Unitarian Universalism and abide by our NSUC Covenant.
2. Members and guests must arrive on time and stay for the entire class/program unless other arrangements have been made in advance with the youth advisors.
3. Be respectful to everyone.
4. Listen when others are sharing.
5. No overt or covert sexual activity and/or other inappropriate behavior is allowed.
6. Youth must be registered and active for three months at NSUC prior to attending overnight events.
7. Youth may not possess or use tobacco, alcohol, or other drugs on NSUC premises or at NSUC sponsored events held onsite or offsite.
8. No verbal or physical violence will be tolerated.
9. No weapons of any kind are allowed.
10. Certain programs are reserved only for registered NSUC youth group members.
11. Guests may visit up to three times. They must register to continue participating after the third visit.

Youth #1 - First & Last Name
Your answer
Youth #1 - Birthdate
MM
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YYYY
Youth #1 - 2017-18 Grade in School
Youth #1 - Email Address
Your answer
Youth #1 - Cell Phone Number
Your answer
Youth #2 - First & Last Name
Your answer
Youth #2 - Birthdate
MM
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DD
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YYYY
Youth #2 - 2017-18 Grade in School
Youth #2 - Email Address
Your answer
Youth #2 - Cell Phone Number
Your answer
Youth #3 - First & Last Name
Your answer
Youth #3 - Birthdate
MM
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DD
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YYYY
Youth #3 - 2017-18 Grade in School
Youth #3 - Email Address
Your answer
Youth #3 - Cell Phone Number
Your answer
COVENANTS AND POLICIES
You are allowing your child(ren) to participate in activities that may be photographed or videotaped in a building that regularly hosts public events. NSUC posts printed images on bulletin boards, maintains a website and social media presence, and disseminates its news and events electronically. We cannot guarantee that your child's image will not appear publicly. However, we will ask that names not be used and promise a reasonable effort towards all children's safety.
NSUC is a spiritual community that takes seriously its responsibility to provide a safe and nurturing environment for everyone, with an emphasis on our children and youth. By registering your children, you agree to abide by the guidelines in the Congregational Safety Policy and make sure your children/youth are supervised when at the church.
Congregational Safety Policy can be found at http://www.nsuc.edu/learn.
My signature indicates my willingness to support my child/youth's attendance at programming, support the NSUC Mission and Covenant of Right Relations, and support my child/youth in adhering to their class covenants, including policies for the youth group. Furthermore, In consideration for the privilege of allowing my child to participate in religious education programming at NSUC, I agree to release and hold harmless the Church, its officers and agents, from any liability to or responsibility for bodily injury, damage or illness to the above-identified child while participating in any youth athletic or social activity which may be directly or indirectly sponsored by the Church. Further, I agree to indemnify and hold harmless the Church, its officers and agents with respect to any claim asserted by or on behalf of my child as a resultof bodily injury, illness, or damage.
Signature of parent/guardian (Type your name below.)
Your answer
Date of signature
Type today's date below.
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If there is anything else you want to communicate with the Education staff or committee, please include it here:
Your answer
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