2019-20 UU Essex's RE Registration
59 Main St., Essex, MA           (978)768-3690        reuuessex@gmail.com                                                                         

UU Essex offers a variety of RE classes for children and youth ages 2-18.  If interested, please submit the following information below to register your child (or children) for one of our programs.

If you have any questions, please contact our Director of Religious Education, Allison Rosner, at reuuessex@gmail.com
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Parent/Guardian Name(s) *
Parent/Guardian Telephone *
Address *
Email *
Please list the names of other adults allowed to pick up your child/children in your absence: *
Children & Youth Information
In the sections below, please tell us about the child, or children, you are registering for the RE program.
Registration for Child/Youth 1
Name *
Child's preferred pronouns
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Date of Birth *
MM
/
DD
/
YYYY
Age *
Does child have any allergies or medical conditions we should be aware of? *
Any special needs or concerns you would like to share regarding your child? *
Would you like to register another child?
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