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UUCM Child & Youth Registration
Please fill out one form for EACH child/youth
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* Indicates required question
Child/Youth Name
*
Your answer
Date of Birth
*
Your answer
Grade in School
*
Your answer
High School Youth ONLY- Do you give permission for UUCM staff and youth advisers to communicate directly with youth?
*
Yes, I give permission for UUCM staff and youth advisors to communicate directly with my child
No, I want to be included in all communications between UUCM staff/youth advisers and my child
N/A - my child is NOT participating in the High School Youth Group
High School Youth ONLY - please indicate YOUTH'S preferred method of contact
Text
Call
Email
Clear selection
Allergies/Food Restrictions
*
Type "None" if not applicable
Your answer
Anything else we should know about
*
Type "None" if not applicable
Your answer
Permission to publish photos of child/youth in UUCM's publications/website/Facebook page
*
****UUCM will list all registered children, youth and families in the directory
YES
NO
Required
Parent/Guardian Name(s)
*
Your answer
NEXT STEP: Fill out Parent/Guardian Registration Form
*
***This step is necessary to avoid you having to duplicate parent/guardian information on each child's form. ****Please only fill out ONE Parent/Guardian Registration form PER family.
I acknowledge that my child(ren) will not be registered until I have completed one Parent/Guardian Registration Form
Required
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