Religious Education 2022/23 Registration Form

Family Contact Information

Parent #1 Name

Parent #1 Email Address

This address will receive a confirmation email

Family phone number

Family Mailing Address

Parent #2 Name (first and last)

Parent #2 Email address

Child Information

Child #1 Name (first and last)

Child #1 Birthdate

Child #1 Grade

Child #1 Allergies and special considerations

Child #2 Name (first and last)

Child #2 Birthdate

Child #2 Grade

Child #2 Allergies or special considerations

Child #3 Name (first and last)

Child #3 Birthdate

Child #3 Grade

Child #3 Allergies and special considerations

Child #4 Name (first and last)

Child #4 Birthdate

Child #4 Grade

Child #4 Allergies and special considerations

Child #5 Name (first and last)

Child #5 Birthdate

Child #5 Grade

Child #5 Allergies and Special Considerations

Sometimes we like to use photos in Sunday services and newsletters

I give permission for UUCville to use photos of my children I DO NOT give permission for UUCville to use photos of my children

Please share anything that would be helpful for us to know about your children or family at this time.

Contact the RE Assistant, Caroline Heins, if you would like to register 6 or more children using this form. REassistant@uucharlottesville.org

Description

Please fill out this form for all families participating in programming at UUCville 2022-2023