JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
UUCCH Child & Youth Summer Program Registration
Event Timing: Sundays, June 7- August 23 (No class July 5)
For children and youth ages 5- grade 12
Contact Melanie Jones
dlfe@uucch.org
or Connor Kelly
cmkelly983@gmail.com
* Indicates required question
Child's Name
*
Your answer
Child #2 Name
Your answer
Child #3 Name
Your answer
Child #1 Grade entering in September
Your answer
Child #2 Grade entering in September
Your answer
Child #3 Grade entering in September
Your answer
Parent/Caregiver Name
*
Your answer
Parent/Caregiver Email
*
Your answer
Parent/Caregiver Phone Number
*
Your answer
Was your child registered for the 2025-2026 program year? (If no, please contact Melanie Jones for additional information)
*
Yes
No
What weeks is your child(ren) planning to attend? (For planning purposes; flexibility is ok!)
*
Week 1: June 7
Week 2: June 14
Week 3: June 21
Week 4: June 28
Week 5: July 12
Week 6: July 19
Week 7: July 26
Week 8: August 2
Week 9: August 9
Week 10: August 16
Week 11: August 23
Week 12: August 30
Other:
Required
Important or helpful information we should know
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Unitarian Universalist Church of Cherry Hill.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report