Religious Exploration Registration
Welcome to the 2020 REGISTRATION for our Religious Exploration (RE) program.

We ask you to help us prepare for our groups this year by completing this paperless form.

Our goal is to support a sense of community through excellent programming for our youth and families.

Our programs run from January to May.

For questions please contact:
Jess Hunt
Director of Religious Exploration
Unitarian Universalist Church of Jacksonville
dre@uucj.org
352-530-6588 (text message)
Name and age of Child You are Registering *
Your answer
Name and age of Child You are Registering
Your answer
Name and age of Child You are Registering
Your answer
Name and age of Child You are Registering
Your answer
Parent/Caregiver's Information - First and Last Name *
Your answer
Parent/Caregiver's Information - First and Last Name
Your answer
Other Emergency Contact Individual(s) - First and Last Name (NOTE - we will require a valid form of ID in picking up a child other than listed and known). *
Your answer
Preferred Contact Method *
Required
Phone Number & Name *
Your answer
Can this phone number receive text messages? *
Phone Number & Name
Your answer
Can this phone number receive text messages?
Phone Number & Name
Your answer
Can this phone number receive text messages?
Photo Permission
We often take photographs and videos of adults, youth, and children as they participate in congregational events such as worship, religious education programming, social events, and justice events. We use these images to promote our congregation and our faith in print, on the internet, and on social media.

Do you hereby authorize the First Unitarian Universalist Congregation to make use of your (and all minors listed in this registration form) likeness and voice in photographs, videos, or audio recordings on our website, in our social media, in our online photo albums and video channels, and in print?

NOTE: This grant is on-going until you revoke or put any limitations in writing to the DRE. If you have any restrictions or limitations on photo use please use the "other" button and explain what these limitations are.
I agree to my child(ren) being photographed during RE activities for marketing use *
Special things to know about your children - i.e. Is there anything we should know about that would help us best serve your child (medications, special needs or diagnosis, family situations, emotional needs? *
Your answer
Dietary/Allergen restrictions *
You will be subscribed to the DRE newsletter, "Jess Sayin'" and the text alert list on Remind. *
Required
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