UUCF RE Enrollment Form for New Students and In-coming 7th Graders Only
Welcome to the Religious Exploration (RE) community at UUCF.

Please use this form to enroll if you are new to the UUCF Religious Exploration program.

Also, use this form to re-enroll when your child has advanced to youth level (7th grade) - the information in section 2 is now needed.

Students in other grades currently attending RE are automatically advanced to the next class level; no re-enrollment is necessary.

Most RE classes are free to all. The Our Whole Lives (OWL) sexuality education classes are free to children of UUCF congregants. (A congregant is defined as someone who attends worship service in-person or online and/or engages in other UUCF-sponsored activities.) If you are not a UUCF congregant, your child is welcome to join OWL classes for a fee, if space permits.

At this time, we do not have a way for families to enroll all of their children on one form. Please complete the form for each of your children. Sections 1 and 3 need to be completed for every student, Section 2 applies only to youth (grades 7 and up.)

UUCF welcomes all donations to the RE program to help offset our expenses. No amount is too small. Your donation is tax-deductible and greatly appreciated. You may donate (or pay any OWL fees)  by check or online at:  https://onrealm.org/UUCF/Give/IDEGKEKWTF.  Please send checks to UUCF, 2709 Hunter Mill Road, Box 130, Oakton VA 22124.
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Email *
Acknowledgement of Parent/Guardian Volunteer Commitment
The UUCF RE Program is a cooperative one that relies on parent participation for its success. All parents/guardians who are active UUCF congregants are expected to serve 5 hours annually as class helpers or youth chaperones, and 30 hours every third year as an RE Teacher, RE Ambassador, or RE Coming of Age Mentor. Parents/guardians who are unable to volunteer on Sundays due to work or other obligations, can work with RE staff to find other ways to contribute significantly to the RE program.  There is no volunteer commitment expected from parents/guardians who are not participants of the UUCF congregation.
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Child/youth Last Name *
Child/youth First Name *
Child/youth Date of Birth *
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Choose Grade Level for 2022-2023   *
UUCF RE will offer in-person classes on Sundays beginning September 2022 for children ages 2 through grade 12.  Children with physical disabilities or learning differences will be accommodated in the RE program. Please contact Diana Tycer, DRE, at dtycer@uucf.org, if you need to place your child in a class that is not based on chronological age or current grade level. Information about classes offered can be found at uucf.org under the Learn and Grow tab.
Are you placing your child in a class level that is different from his/her chronological age?
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Please provide any information that would be helpful for RE teachers to know about your child. If you feel your child may need support or accommodations for any reason, please share that information with us. We want to make sure every child feels welcome and included at RE.
Does your child have any allergies? *
Allergies: Please list all known allergies and indicate if they are Severe (life-threatening- call 911 if exposed and use epi-pen), Moderate (get parents immediately if exposed because medication may be needed), or Mild (notify parents of exposure at pick-up.)
Does your child take medication daily for any reason? (Information about medications remain confidential to RE staff) *
Medication
Does your child have a current tetanus shot? *
Is your child vaccinated for Covid-19 as recommended for their age by the CDC? *
Has your child received all other vaccinations required by Fairfax County Public Schools? (Vaccination is not required for enrollment in RE at UUCF, but for the safety of others, children who are not vaccinated may be prohibited from attending classes during outbreaks of contagious diseases.) *
Name of Child's Physician
Physician's Phone Number
Health Insurance Policy Holder's Name
Health Insurance Company
Health Insurance Policy Number
Medical Permission *
As the parent/guardian of the child listed on this form, I authorize any licensed physician, hospital, or clinic to provide any emergency treatment that may be required for my child. The parent/guardian completing this form is considered the consenting parent/guardian and if a second parent/guardian is noted later in this document, both parents/guardians are assumed to agree with all approved permissions unless otherwise noted.
Photo/Video Permissions *
UUCF values sharing images of our families with our community. Our policy is to NOT identify anyone by name. Please indicate ONE of the options below.
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