Religious Education Registration & Medical Form 2018-2019
Our Goal: The Religious Exploration (RE) teachers and the Children's & Youth RE Committee are committed to nurturing the ethical, intellectual, and spiritual lives of both children and adults. We want your child to ask you to take them to church on Sunday morning.

Please complete the following information to register your child for RE class or the Nursery. Let us know if you have any special concerns for your child.

Please complete a separate registration form for EACH child/youth you are enrolling.

A digital signature is required at the bottom of the form and please don't forget to press SUBMIT at the bottom of the form to complete your registration.

If you have any questions or problems completing this form, contact Theresa Pizzuto, Lifespan Director of Religious Exploration, at dlre@uufc.org or our Congregational Secretary, Becky Turner at (864) 654-5959 or info@uufc.org.
Child / Youth Registration
Please complete the form for EACH child you are enrolling for classes or the nursery
Child/Youth Last Name *
Your answer
Child/Youth First Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Grade *
Your answer
Age *
Your answer
Gender *
Your answer
Please list any allergies, medical concerns, learning issues, special needs, or medications
Your answer
Parent / Guardian #1 Last Name *
Your answer
Parent / Guardian #1 First Name *
Your answer
Relationship to Child *
Your answer
Email address *
Your answer
Best Phone *
Your answer
Alternate Phone
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Best Contact Methods *
Please check all that apply
Required
Parent / Guardian #2 First Name
Your answer
Parent / Guardian #2 Last Name
Your answer
Relationship to Child
Your answer
Email address
Your answer
Best Phone
Your answer
Alternate Phone
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Best Contact Methods
Please check all that apply
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