Unitarian Universalists of
Religious Education for Children and Youth
Registration for 2010-2011
(Classes begin September 19, 2010
at 10:30 am)
Parent(s)/Guardian
_______________________________________________________________
Address _________________________________________________________________________
street
city
state zip code
E-mail
___________________________________________ Phone _________________________
Name of Child/Youth #1 ___________________________________________________________
Grade (or equivalent)
as of 9/1/10 ____ Date of Birth_____________
Interests, eating
habits, food allergies, special needs, etc…
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Name of Child/Youth #2 ___________________________________________________________
Grade (or equivalent)
as of 9/1/10 ____ Date of Birth_____________
Interests, eating
habits, food allergies, special needs, etc…
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Name of Child/Youth #3 ___________________________________________________________
Grade (or equivalent)
as of 9/1/10 ____ Date of Birth_____________
Interests, eating
habits, food allergies, special needs, etc…
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Please
complete the other side too!
2
Throughout the church
year, there will be opportunities for photos to be taken of children and
youth. Should the photos be displayed on the church website they will not
be identified by name to ensure the safety and privacy of our children and families.
Please make a
selection below:
____ YES I grant the
staff and volunteers of the Unitarian Universalists of Clearwater permission to
photograph my child(ren).
____ NO I do not
grant the staff and volunteers of the Unitarian Universalists of Clearwater
permission to photograph my child(ren).
________________________________________________________________ _____________
signature of parent/guardian
date
**** We do not charge
a fee for the Religious Education program. If you would like to make a
voluntary donation, checks can be payable to: Unitarian Universalists of
Clearwater. In the memo section please
write “RE Program Contribution”.