Student Registration 2016-2017
MVUC Religious Education Program for Children and Youth
First Name
Child Participant
Your answer
Last Name
Child Participant
Your answer
Birthdate
Child Participant
MM
/
DD
/
YYYY
Grade
Child Participant as of September 2015. Curriculum noted. (Check one)
Required
e-Mail Address
Child Participant's Address
Your answer
Cell Phone
Child Participant's Cell Phone
Your answer
Church Service
Indicate the time of the Sunday service you anticipate your child usually attending. Nursery and Spirit Play for Grades Pre-K - 5th are offered during the 9:15 service. Nursery and curriculum-based RE classes are offered during the 11:15 service. (Check one.)
Required
Special Needs
Indicate special needs for the participant: allergies, dietary restrictions, medication, medical conditions, learning challenges, an Individualized Education Plan at school, or other things that we need to know to best teach your child:
Your answer
Images and Photographs
Occasionally images/photographs taken of participants in connection with RE classes and other activities may be used by MVUC in various publications to member and/or public audiences to promote MVUC's programs. Do you grant permission for your child's photograph/image to be used In any MVUC publication, hard or electronic, to all audiences? (Check one.):
Required
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