Religious Education Registration: Children and Youth 2019-2020
Email address *
1st Child's First & Last Name: *
Your answer
Birthdate: *
MM
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DD
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YYYY
Grade as of August 2019: *
Your answer
Please share with us anything that will help us better know and serve your child: learning, special interests, behavioral, mental health, etc.
Your answer
Please share with us any severe food allergies your child has. Food sensitivities are listed separately. Please tell us if you or your child will bring an epi-pen each Sunday.
Your answer
Food sensitivities or dislikes
Your answer
JUC Media Release Agreement: We often take photographs and videos of adults, youth, and children as they participate in congregational events such as worship, religious education programming, social events, and justice events. We use these images to promote JUC and our faith in print, on the Web, and on social media. In consideration of the benefits I receive from my association with JUC, I hereby authorize JUC to make use of my child’s likeness and voice in photographs, videos, or audio recordings on their website, in their social media, in their online photo albums and video channels, and in print. This grant is final and on-going, without any additional restrictions or limitations. You are authorizing us the use of your child’s image and voice in these photographs and video recordings unless you check the box below. No names nor other identifying personal information about individual children or minor youth will be published without your explicitly stated permission to do so in each individual case. *
Do you have an additional child to register? *
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