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. The non-congregant, 2019-2020 fee for 8th Grade OWL is $200 at this link: OWL Fees https://onrealm.org/UUCF/Give/GQIKQMTNAC. Please contact Director of RE Diana Tycer, dtycer@uucf.org, for more information.

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.

Email address *
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 members of the UUCF congregation.
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Child/youth Last Name *
Your answer
Child/youth First Name *
Your answer
Child/youth Date of Birth *
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Choose Class for Fall 2019 *
Children must be age 2 by September 1, 2019 to enroll in the 2s and 3s class. Children 3 and older should be ready to participate in teacher-directed group activities. Alternatively, the Nursery childcare would be the appropriate placement, which does not require enrollment. 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 all classes offered can be found at uucf.org under the Learn and Grow tab.
Are you placing your child in a class that is different from his/her chronological age?
Please provide any information that would be helpful for RE teachers to know about your child.
Your answer
Does your child have any allergies? *
Allergies
Please list any allergies your child has and indicate the severity. SEVERE: life-threatening, call 911 MODERATE: contact parent/guardian immediately MILD: alert parent/guardian to exposure after class
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.) *
Medication
Your answer
Does your child have a current tetanus shot?
Has your child received all vaccinations required by Fairfax County Public Schools? (Vaccination is not required for enrollment in RE at UUCF.)
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 *
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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