UUCF RE Enrollment Form
Welcome to the Religious Exploration (RE) community at UUCF. Enrollment is required for participation in all RE classes. Please enroll your child(ren) during your first month visiting UUCF RE, even if they do not attend weekly. Most RE classes are free to all. The Our Whole Lives (OWL) classes are free to children of UUCF congregants. If you are not a UUCF congregant, your child is welcome to join OWL as space permits.
Please note that due to the Covid 19 pandemic, RE classes are currently being taught online. At this time we are not offering any OWL classes for the Fall, Winter, or Spring sessions because the participatory and confidential format of the Our Wholes Lives program cannot be replicated online.
At this time, we do not have a way for families to register 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.
* Required
Email address
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Your 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 active participants of the UUCF congregation.
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I acknowledge and agree to meet my commitment to the best of my ability (UUCF congregants only).
My child is an OWL-only fee-paying student, and I understand no volunteer commitment is expected.
Child/youth Last Name
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Your answer
Child/youth First Name
*
Your answer
Child/youth Date of Birth
*
MM
/
DD
/
YYYY
Choose Class for 2020-2021
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UUCF RE will offer multi-age online classes on Sunday this fall while our campus is closed, in addition to other family faith formation options. Children must be age 2 by September 1, 2020 to enroll in the 2s - 4's class. Children age 2 should be ready to participate in teacher-directed group activities. Children with physical or cognitive disabilities 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. If you do not want a zoom class for your child, click the last option, and someone will contact you about family learning options.
Ages 2 - 5 year-olds: Hello Friends (pre-school)
Gr. K - 1 Expanded Chapel /Soul Matters (new)
Gr. 2/3 Soul Matters (new)
Gr. 4/5: Harry and UU (new)
Gr. 6: Riddle and Mystery & VA Inclusive History
Gr. 7 - 8 Crossing Paths (new)
High School: Youth Group & Building Bridges
Are you placing your child in a class that is different from his/her chronological age?
Yes
No
Clear selection
Please provide any information that would be helpful for RE teachers to know about your child.
Your answer
Does your child have any allergies?
*
None known
Yes (Describe below)
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.)
Your answer
Does your child take medication? (All medical information is kept confidential. Only those working directly with your child will have access to this information.)
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No
Yes (describe below)
Medication
Your answer
Does your child have a current tetanus shot?
*
Yes
No
Not sure
Has your child received all 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.)
*
Yes
No
Not sure
Name of Child's Physician
Your answer
Physician's Phone Number
Your answer
Health Insurance Policy Holder's Name
Your answer
Health Insurance Company
Your answer
Health Insurance Policy Number
Your answer
Medical Permission
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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.
I agree.
Acknowledgement of UUCF RE Safety Policies
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https://uucf.org/wp-content/uploads/2017/09/Policy-RE-Safety-Policies-and-Agreements-8.30.17.pdf
I have read the UUCF RE Safety Policies.
Photo/Video Permissions
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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.
I give permission for photos and/or videos of my child/youth to appear in ALL UUCF materials, including print, website, social media and projected during children or adult worship services.
I give permission for photos and/or videos of my child/youth with limitations that they be used only inside the UUCF campus community (classrooms, RE events, worship services, and RE- community communications)
No, my child/youth's image cannot be used for any reason. (This option will prevent your child from appearing in the class picture.)
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