2017-2018 Family Registration Form
Member?
If yes, member since:
Your answer
If no, how did you hear about us?
Your answer
Parent/Guardian's Name:
Your answer
Occupation:
Your answer
Best phone number to reach you:
Your answer
Email:
Your answer
Street Address:
Your answer
City/Town:
Your answer
State:
Your answer
Zip:
Your answer
Parent/Guardian's Name:
Your answer
Occupation:
Your answer
Best phone number to reach 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
Child 1 Name:
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
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
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 on our website and Facebook page. 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 2017 and extending to June 2018. 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:
Snack Hosting
I can volunteer as a snack host
Is there anything we forgot to ask? Please use this section to provide any additional information that may be helpful.
Your answer
Signature of Parent/Guardian:
Your answer
Date:
Your answer
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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