Student Registration 2018-2019
MVUC Religious Education Program for Children and Youth
First Name *
Your answer
Last Name *
Child Participant
Your answer
Birthdate *
Child Participant
MM
/
DD
/
YYYY
Grade *
Child Participant as of September 2018. (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 curriculum-based RE classes for Grades Pre_K - 12th are offered during the 11:15 service. Nursery and Childcare for Grades Pre-K - 5th are offered during the 9:15 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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