Religious Exploration Registration 2018-19
We are looking forward to your participation in the RE program for the upcoming year. Please use this form to register each participating child, from nursery through Senior Youth. Even if you attend 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 2017-18*. 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 *
Your answer
Home address *
Your answer
Phone *
Your answer
Alternate phone
Your answer
Email address *
Your answer
Preferred contact type
Parent/Guardian 2 name
Your answer
Address (if different from above)
Your answer
Phone
Your answer
Alternate phone
Your answer
Email address
Your answer
Do you have a pledge on record with UUFLB for 2018-19?
Child 1 Name *
Your answer
Child 1 Date of Birth
MM
/
DD
/
YYYY
Child 1 age as of Sept. 1, 2018
Your answer
In what class will child 1 enroll? *
Does this child have any allergies or special needs we should be aware of? *
Please describe
Your answer
Is there anything else we should know about this child?
Your answer
Child 2 name
Your answer
Child 2 Date of Birth
MM
/
DD
/
YYYY
Child 2 age as of September 1, 2018
Your answer
In what class will child 2 enroll?
Does this child have any allergies or special needs we should be aware of?
Describe
Your answer
Is there anything else we should know about this child?
Your answer
Child 3 Name
Your answer
Child 3 Date of Birth
MM
/
DD
/
YYYY
Child 3 age as of September 1, 2018
Your answer
Class in which Child 3 will enroll
Does this child have any allergies or special needs we should be aware of?
Describe
Your answer
Is there anything else we should know about this child?
Your answer
If you have additional children to enroll, please contact our DRE (dre@uuflb.org) *
Occasionally, we will plan programming that involves going outside, on Pen Ryn's grounds or in the immediate neighborhood. Do you give permission for your child to participate in these activities? This includes nursery children, who may go outdoors to play. (Permission for trips taken by car or other means, further from Pen Ryn, will be handled separately.) * *
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)
Supervision of your child(ren) outside of RE class time (during service, on Pen Ryn's grounds, and in the building) is the responsibility of parents or guardians. As such, a parent or guardian MUST remain on school grounds when your child(ren) is/are present for their RE class(es). RE classes take place from approximately 10:45-11:30; promptly picking up your child(ren) from their RE class(es) at the end of service is expected and appreciated. Additionally, children must be under parental supervision during coffee hour (children may play in gymnasium but a parent must be present). *
Emergency contact name & phone number
Your answer
Emergency contact relationship to child(ren)
Your answer
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?
Your answer
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