Family Ministry Registration 2019-20
Please complete and submit a form for each young person in your family
Child/Youth Name *
Example - Last Name, First Name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age (mos or yrs) & Grade Level (Sept 2019) *
Example - 7 yrs, 2nd grade or 8 mos
Your answer
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 1 Email Address *
Your answer
Parent/Guardian 1 Telephone Number *
Your answer
Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Email Address
Your answer
Parent/Guardian 2 Telephone Number
Your answer
Primary Contact Mailing Address *
Your answer
Accessibility Needs/Accommodations
We strive to make UUMAN a safe, happy & inclusive community for all. Is there a medical condition, learning or behavior challenge, custody or family issue, etc. of which MCY staff or volunteers should be aware?
Your answer
Dietary Restrictions/Allergies
UUMAN may provide a snack and/or drink during MCY activities. Are there any food allergies or sensitivities about which we should be aware?
Your answer
Photo Permission *
May we have your permission to use photos/videos of your child(ren) for promotional materials, examples include website, brochures, etc. Children's names will not be used in any public domain.
Submit
Never submit passwords through Google Forms.
This form was created inside of Unitarian Universalist Metro Atlanta North. Report Abuse - Terms of Service