RE Registration 2018-2019
All children from nursery age to 18 involved in RE programming must be registered. Thank You! If you have more than 3 children- Please use 2 forms. Thank you! Please contact Robin Mitzcavitch- DRE if you have any questions ! uucwre@gmail.com
Child 1 -Name *
Your answer
Child 1 -Date of birth *
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Child 1- Grade as of September 2018 *
Your answer
Child 1 - Allergies and/or accessibility need
Your answer
Child 2- Name
Your answer
Child 2 -Date of birth
MM
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DD
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YYYY
Child 2- Grade as of September 2018
Your answer
Child 2 - Allergies and/or accessibility need
Your answer
Child 3- Name
Your answer
Child 3- Date of Birth
MM
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DD
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YYYY
Child 3- Grade as of September 2018
Your answer
Child 3- Allergies and/or accessibility need
Your answer
Parent/ Guardian Name (s) *
Your answer
Parent / Guardian Address *
Your answer
Parent/Guardian email address *
Your answer
Parent/Guardian home and cell # *
Your answer
If your child(ren) were registered last year, are there any changes to emergency contact , or medical info or photo release? *
Emergency contact name and #, Medical insurance name and policy #
Your answer
UUCW may use images of the children in our programs in our newsletter, website and social media. We never use names. I give permission to use images.
UUCW's Religious Exploration Program is a thriving and successful cooperative. We love the fact that all our families are all involved with leading or assisting in the classroom. During your first year at UUCW, we do not ask you to teach or assist. Otherwise, as part of the cooperative we ask volunteers to lead teach (usually 4 -5 classes) or we assign you to assist 2-3 times per year in a classroom. Please note below any months or classes and roles that you would prefer to be in. We will try to accommodate all requests ! Thank You!
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