2023-2024 CHILDREN & YOUTH RELIGIOUS EDUCATION REGISTRATION
Please fill out this form for all families participating in programming at UUCville 2023-24
Family Contact Information
Parent #1 Name
*
Parent #1 Email Address
*
This address will receive a confirmation email
Family phone number
*
Family Mailing Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent #2 Name (first and last)
Parent #2 Email address
I (parent #1) am able to help
*
Please select all that apply.
Class Parent
Nursery (babies to 3 years)
Spirit Play (4 years - Kindergarten)
1st and 2nd grade
3rd and 4th grades
5th and 6th grade
Youth Advisor (YRUU 9th-12th)
Help with planning Special Events such as Bingo night, Holiday bazaar, PJs & Pancakes, etc.
Join Religious Education Committee
I would like to speak with Rev. Leia about my involvement
Parent #2 is able to help (if applicable)
Please select all that apply.
Class Parent
Nursery (babies through 3 years)
Spirit Play (4 years - Kindergarten)
1st and 2nd grades
3rd and 4th grades
5th and 6th grades
Youth Advisor (YRUU 9th - 12th grades)
Help with planning Special Events such as Bingo night, Holiday bazaar, PJs & Pancakes, etc.
Join Religious Education Committee
I'd like to speak with Rev. Leia about my involvement
Is there something you would like to share about your ability/capacity to volunteer in Regligious Education classrooms? What age group/activity is most interesting to you? Do you have special skills, interests or abilities that you would like to offer?
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
*
Please select all that apply.
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 have any questions or would like to register 6 or more children using this form.
REassistant@uucharlottesville.org
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Please fill out this form for all families participating in programming at UUCville 2023-24
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