2017-18 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 grades K-12. 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 at reuuessex@gmail.com

Parent/Guardian Name(s)
Your answer
Parent/Guardian Telephone
Your answer
Address
Your answer
Email
Your answer
Please list the names of other adults allowed to pick up your child/children in your absence:
Your answer
Children's Information
In the sections below, please tell us about the child, or children, you are registering for the RE program.
Registration for Child 1
Child's name
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Grade Level
Does child have any allergies or medical conditions we should be aware of?
Your answer
Any special needs or concerns you would like to share regarding your child?
Your answer
Would you like to register another child?
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