UUCV RE Registration 2016/17

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Junior and Senior YRUU programming requests $150 per person program tuition.

Are you new to Religious Education at UUCV? *

Yes! We are a new family/youth/child!

No, we were registered last year!

No, but we took a break and did not register last year.

Which Service would you most often attend? *

9:30 am (Nursery through kindergarten in the Nursery)

11:15 am (nursery through 12th grade)

Child/Youth First and Last Name *

Parent(s)/Guardian(s) First and Last Name *

Primary Address *

City/State/zip *

Home Phone Number *

Home Email *

Youth Phone Number

Not for use outside RE program

Youth Email

Not for use outside RE program

Child /Youth Date of Birth *

Grade: Nursery (Birth-3 years), Spirit Play (P-2nd), Spirit Spiral (3rd-6th), JR YRUU (7-9), SR YRUU (10-12) {Example: Spirit Play K} *

School

Allergy Information/Special Concerns

Confidentiality: Please understand that any medical information given on this form may be shared with the classroom teacher to ensure your child's safety while onsite or on field trips. Names and food allergies will be posted in the RE kitchen and in all classrooms. UUCV, it's employees, and adult volunteers cannot protect your child, unless the Religious Education Director is notified of any serious or life-threatening health issues.

Emergency Contact

Additional Adults Authorized to pick up your child

Our RE program in cooperative. Everyone is expected to support the program with their time. Please indicate where you can assist. Teachers and helpers are the most needed. Please fill out a Volunteer form here http://goo.gl/forms/kocMWz5FR2

YES! I filled out that form too!

Please contact me to discuss what I can do.

Other:

Clear selection

Media Permission: I grant permission for photos of my child in RE activities to be posted on closed church Facebook groups, the church website, and within the church building. I understand photos will be anonymous and my child's name will not be used. *

Yes

Field Trip Permission

Sometimes teachers take classes (kindergarten and above) on walking trips to local parks, Burnt Bridge Creek trail or other short, nearby, neighborhood adventures.

yes, I give my child permission to go on supervised neighborhood adventures

I would like to discuss my concerns with the DRE

Other:

Clear selection

Additional Waiver 3rd - 12th grade

Older children and youth have the opportunity to go on several field trips throughout the year. Please be sure to fill out a "General Trip Permission and Medical Waiver" which is available online at http://goo.gl/forms/SqDoRUR6BR

Safe Church Policy

UUCV and the RE program welcome all children and youth and their families. We encourage all members of the congregation to volunteer with the children and youth as they are willing and able. Because we value the special circle of trust that we have created here, we require all adult volunteers who work with children and youth to consent to a criminal background check and sign a code of ethics. We accept the responsibility to educate ourselves and our children about sexual misconduct, about molestation, harassment and exploitation. We pledge to conduct ourselves in a manner that conveys mutual respect. If you have any questions about this, please contact Sara Cloe, Credentialed Religious Education Director.

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