Youth RE 2023-2024 Registration Form

Please fill out this form and click submit.

Thank you for proving your youths' information. For planning and safety purposes, each child needs to be registered for classes.
Questions, concerns and inquiries can be sent to Lexie Tangney at DRE@uuman.org

Youth's Information

Youth's Name

Pronouns

Please select all that apply.

she/her he/him they/them other

Primary Contact Email

This address will receive a confirmation email

Primary Phone

Primary Address

Birthday

Grade

County

Name of school/Homeschooled

Anything that could effect RE attendance? (ex: co-parenting, vacations, events, ect)

Medical Information: Please describe any allergies, special diets, chronic illnesses, or other medical conditions:

Anything you want the RE team to know that could effect participation?

Consent

Medical Release: on behalf of my child(ren), I hereby release and discharge UUMAN from any claims from incidents which may occur during Faith Development programming activities. In the case of a medical emergency, I, as parent or guardian of the minor child(ren) registered, shall be immediately contacted by UUMAN and to the extent such contact is practical. This release and consent shall be effective until revoked in writing by the undersigned.

Guardian's signature (typed)

Permissions for sharing photos or videos of your child(ren)

Please select one option.

All UUMAN platforms: Such as web materials, bulletin boards, church newsletters, social media, and brochures Only internal Platforms such as: newsletter and bulletin boards None

Parent/Guardian Information

First and Last Name

Email address (if different from youth's email)

Phone number (if different from youth's phone)

Name(s) of other Parent's/Guardian's/Caregiver's

Help and Support

The strength of our program depends on everyone's support. All parents/guardians are asked to volunteer their time during the year. Options include: RE teacher, children and youth special events, childcare for church activities, youth group advisor or youth mentor. If you are able to volunteer, please list any interests.

Please select all that apply.

RE instructor Help in the Nursery Special Events Field Trips Coming of age Mentor RE substitute RE team

Are you interested in enrolling your child/youth in OWL?

Please select one option.

K-1 4-6 7-9 10-12

Description

Please fill out this form and click submit.

Youth RE 2023-2024 Registration Form

Description

Please Fix the Following