UUCM Child & Youth Registration
Please fill out one form for EACH child/youth
Child/Youth Name *
Date of Birth *
Grade in School *
High School Youth ONLY- Do you give permission for UUCM staff and youth advisers to communicate directly with youth? *
High School Youth ONLY - please indicate YOUTH'S preferred method of contact
Clear selection
Allergies/Food Restrictions *
Type "None" if not applicable
Anything else we should know about *
Type "None" if not applicable
Permission to publish photos of child/youth in UUCM's publications/website/Facebook page *
****UUCM will list all registered children, youth and families in the directory
Parent/Guardian Name(s) *
NEXT STEP: Fill out Parent/Guardian Registration Form *
***This step is necessary to avoid you having to duplicate parent/guardian information on each child's form. ****Please only fill out ONE Parent/Guardian Registration form PER family.
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