Religious Exploration Registration 2020-21
We are looking forward to your participation in the RE program for the upcoming year. In these unprecedented times, R.E. is going to look a little different than usual but we are committed to providing an enriching, meaningful experience for the R.E. children and youth under whatever circumstances we are given.

Please use this form to register each participating child, from nursery through Senior Youth. Even if you participate only sporadically, we need to have safety and contact information on file.

Please note that there will be no program fee for UUFLB's Religious Exploration program in 2020-21, though a small materials fee may apply. Our RE program, including staff, is funded by pledges; as such we encourage you to make a pledge if you don't already have one on record for the upcoming year, or to increase your pledge amount if you are able to do so (email trustees@uuflb.org). The board will also be holding special collections in support of RE, during several Sunday services this year.

Confidentiality notice: This form will only be seen by the Director of Religious Exploration. Information you provide may be shared with teachers or other volunteers, at the DRE's discretion, to help us see that each child's needs are met. If there is information you would like the DRE to keep confidential, please indicate that. It is our intention to protect family privacy whenever possible.
Parent/Guardian 1 name *
Home address *
Phone *
Alternate phone
Email address *
Preferred contact type
Clear selection
Parent/Guardian 2 name
Address (if different from above)
Phone
Alternate phone
Email address
Child 1 Name *
Child 1 Date of Birth
MM
/
DD
/
YYYY
Child 1 age as of Sept. 1, 2020
In what class will child 1 enroll? *
Does this child have any allergies or learning needs we should be aware of? *
Please describe
Is there anything else we should know about this child?
Child 2 name
Child 2 Date of Birth
MM
/
DD
/
YYYY
Child 2 age as of September 1, 2020
In what class will child 2 enroll?
Clear selection
Does this child have any allergies or learning needs we should be aware of?
Clear selection
Describe
Is there anything else we should know about this child?
Child 3 Name
Child 3 Date of Birth
MM
/
DD
/
YYYY
Child 3 age as of September 1, 2020
Class in which Child 3 will enroll
Clear selection
Does this child have any allergies or special needs we should be aware of?
Clear selection
Describe
Is there anything else we should know about this child?
If you have additional children to enroll, please contact our DRE (dre@uuflb.org) *
Do you permit UUFLB to use your child(ren)'s image (without name) in its newsletter and emails, and on its website and facebook page? (any outside media requests would be handled seperately)
Clear selection
Emergency contact name & phone number *
Emergency contact relationship to child(ren)
Parent/guardian1 please select as many as apply: *
Required
Parent/guardian 2 please select as many as apply:
Is there anything else we should know about your family in order to accommodate you?
Thank you for registering; we are looking forward to a great RE year!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy