Registration for PBUUC Religious Exploration
PBUUC Safety Policy requires your child's registration
Your Email Address
Your answer
All Children Ages 0-18 must be registered to attend class
First Name
Your answer
Last Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Age as of September 1, 2017
Your answer
Grade as of September 1, 2017
Your answer
Address
Your answer
Does your child have any allergies?
If yes, please describe allergies and how you would like us to handle these.
Your answer
Does your child have any special needs that the teachers should be aware of?
If your child has special needs, describe briefly below and please speak to the Director of Multigenerational Religious Exploration so that we may best serve your child.
Your answer
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