Religious Education Program Registration--UUCB, Fall 2016
Registration for children participating in the RE Program at UUCB Fall 2016: Thank you for your registration!
We need volunteers! If everyone takes one small task, we can operate our vibrant program with a bountiful energy. Which task(s) will you take? You can also volunteer your teenager!
May we include your email address in our weekly newsletter, the All Church Email (ACE)?
Parent or Guardian #1: Name
Your answer
Parent or Guardian #1: Address
Your answer
Parent or Guardian #1: Email
Your answer
Parent or Guardian #1: Phone #
Your answer
Parent or Guardian #2: Name
Your answer
Parent or Guardian #2: Address
Your answer
Parent or Guardian #2: Email
Your answer
Parent or Guardian #2: Phone #
Your answer
Parent or Guardian #3: Name
Your answer
Parent or Guardian #3: Address
Your answer
Parent or Guardian #3: Email
Your answer
Parent or Guardian #3: Phone #
Your answer
May your child(ren) participate in class nature walks on the church grounds?
Where can you usually be found while your child(ren) are in their RE classes?
Your answer
Permission to use photographs: I grant the Unitarian Universalist Church of Birmingham (UUCB), its employees and volunteers, the right to take photographs of my child(ren) in connection with church events. I authorize UUCB to copyright, use, and publish these photos in printed materials and in web content with the understanding that children's names will not be published in photo captions.
Authorization for Medical Attention: I hereby authorize the Religious Education volunteer staff or Director of Religious Education (DRE) representing the Unitarian Universalist Church of Birmingham to give consent for any and all necessary medical attention and first aid for my child(ren) listed below, while in the care of the Unitarian Universalist Church of Birmingham
Emergency contact name and phone # (if parent(s) or guardian(s) are unavailable during emergency)
Your answer
Student #1: Name, age, special needs, allergies, comments
Your answer
Student #2: Name, age, special needs, allergies, comments
Your answer
Student #3: Name, age, special needs, allergies, comments
Your answer
Student #4: Name, age, special needs, allergies, comments
Your answer
Student #5: Name, age, special needs, allergies, comments
Your answer
Student #6: Name, age, special needs, allergies, comments
Your answer
Student #7: Name, age, special needs, allergies, comments
Your answer
Student #8: Name, age, special needs, allergies, comments
Your answer
Student #9: Name, age, special needs, allergies, comments
Your answer
Student #10: Name, age, special needs, allergies, comments
Your answer
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