2019-2020 Family Registration Form
1st Parent/Guardian's Name:
Your answer
Member?
If yes, member since:
Your answer
If no, how did you hear about us?
Your answer
Occupation:
Your answer
Best cell phone number to text/call you:
Your answer
Email:
Your answer
Street Address:
Your answer
City/Town:
Your answer
State:
Your answer
Zip:
Your answer
2nd Parent/Guardian's Name:
Your answer
Occupation:
Your answer
Best cell phone number to text/call you:
Your answer
Email:
Your answer
Street Address (if different):
Your answer
City/Town:
Your answer
State:
Your answer
Zip:
Your answer
Children Enrolling in Nursery Care or Sunday School (K - 8)
Child 1 Name:
Your answer
Gender Identity (for example, male, female, fluid, trans, etc.):
Your answer
Age:
Your answer
Birthdate: (to change year, please highlight and type in appropriate year)
MM
/
DD
/
YYYY
Grade:
Your answer
Allergies:
Your answer
Information that would be helpful for the teacher to know:
Your answer
Child 2 Name:
Your answer
Gender Identity (for example, male, female, fluid, trans, etc.):
Your answer
Age:
Your answer
Birthdate: (to change year, please highlight and type in appropriate year)
MM
/
DD
/
YYYY
Grade:
Your answer
Allergies:
Your answer
Information that would be helpful for the teacher to know:
Your answer
Child 3 Name:
Your answer
Gender Identity (for example, male, female, fluid, trans, etc.):
Your answer
Age:
Your answer
Birthdate: (to change year, please highlight and type in appropriate year)
MM
/
DD
/
YYYY
Grade:
Your answer
Allergies:
Your answer
Information that would be helpful for the teacher to know:
Your answer
Photo Release and Consent
We occasionally publish photos and take videos of fun church events in our monthly newsletter, printed materials and our website and social media (such as Facebook, Instagram and Twitter). We don't typically use names, but if we use one for a caption, it is only a first name. Please indicate if you give permission for us to publish photos and videos that include your child: (check one)
Field Trip Permission
I give my permission for my children to participate with the Murray Unitarian Universalist Church classes at any and all off-campus church approved events beginning September 2019 and extending to June 2020. I will notify the specific group leaders if my child does not have permission to attend a specific event. I understand that I will hold neither the supervisory adults nor Murray Unitarian Universalist Church or any of its agents liable for injuries or damages sustained by my children during any off-campus, church sponsored event.
RE Program Volunteering
Please let us know how you can help with our Religious Education Program.
We rely on the loving guidance of volunteer teachers and helpers from our church community. We ask that you consider volunteering to assist in some way. (Note: every volunteer working with our youth will be required to apply and submit to a criminal background check). Please check all that apply:
Is there anything we forgot to ask? Please use this section to provide any additional information that may be helpful.
Your answer
I understand that as a RE family we are committed to financially supporting our church and its mission.
Running our church for a year costs around $1700 per family. A minimum $300 pledge annually is suggested for RE families to support our children's programming and family ministry.
Signature of Parent/Guardian:
Your answer
Date:
MM
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DD
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YYYY
Please feel free to reach out to Kavita Vansant, our Lifespan Director of Religious Education if you have questions and/or comments at kkvansant@gmail.com
Stay Connected
You can always know what is happening in our Religious Education Program! We have a web page (www.murrayuuchurch.org), and we are on Facebook. Plus check out our newsletter for our weekly RE calendar! Check us out!
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