UUCB Religious Education Registration 2018-2019
Please complete ONE form per family. You will have the opportunity to enter each child/youth within this form. We will follow up with an email for payment/scholarship information. Please contact Adrienne Summerlot
if you have any questions. THANK YOU!!!
Date of Birth
Current School Grade as of August 2018
Not in school
Less than 3 years old (Childcare program)
Register Child for
9:15am K-2nd grade
9:15am 3rd-8th grade
11:15am K-2nd grade
11:15am 3rd-6th grade (7th & 8th graders not enrolled in OWL- should register for this class)
10:45-12:15pm Our Whole Lives Sexuality Education for 7th-8th Grade
12:30pm- High School Youth Group for 9th-12th grade
Special Needs (Medical, Dietary, Cognitive, etc)
Yes, I release my child’s photo to be included on the Unitarian Universalist Church of Bloomington’s website, facebook and/or prologue newsletter. (Children’s names are never included with photo)
No, I would prefer for my child’s photo to not be taken or used
Do you have additional children to register?
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