RE Enrollment Form

UUFWC Religious Education Registration

We’re so glad that your child/youth will be joining us for RE classes! This form should be completed by the child(ren)’s parent/ guardian even if they are brought to the UUFWC by a friend or relative.
Household Information
Parent(s)/ Guardian
Mailing Address
City
Zip Code
Phone Number:
Mobile Number:
Email Address:
Is email a good way to contact you?

yes no
If "no", what is the best method to communicate with you?
If another adult will be responsible for your children in your absence, please list that person's name and contact information.

Child # 1
Full Name

First Name Last Name
Child's Gender Pronouns

he/his she/hers they/theirs
Child's Gender Identification
Child's Age
Birth Date

Month Day Year
School Grade
School and School System
Current Format of Schooling
Is there anything about your child that would be helpful for our program to know (health, behavior, special needs, food allergies, etc)?
Please share any gifts, talents, passions, interests, or anything else you would like us to know about this child.
If Child is a Youth [Grade 7-12] their E-mail
If Child is a Youth [Grade 7-12] their Phone Number

Area Code Phone Number

Child # 2
Full Name

First Name Last Name
Child's Gender Pronouns

he/his she/hers they/theirs
Child's Gender Identification
Birth Date

Month Day Year
Child's Age
School Grade
School and School System
Current Format of Schooling
Is there anything about your child that would be helpful for our program to know (health, behavior, special needs, food allergies, etc)?
Please share any gifts, talents, passions, interests, or anything else you would like us to know about this child.
If Child is a Youth [Grade 7-12] their E-mail
example@example.com
If Child is a Youth [Grade 7-12] their Phone Number

Area Code Phone Number

Child # 3
Full Name

First Name Last Name
Child's Gender Pronouns

he/his she/hers they/theirs
Child's Gender Identification
Birth Date

Month Day Year
Child's Age
School Grade
School and School System
Current Format of Schooling
Is there anything about your child that would be helpful for our program to know (health, behavior, special needs, food allergies, etc)?
Please share any gifts, talents, passions, interests, or anything else you would like us to know about this child.
If Child is a Youth [Grade 7-12] their E-mail
example@example.com
If Child is a Youth [Grade 7-12] their Phone Number

Area Code Phone Number

Child # 4
Full Name

First Name Last Name
Child's Gender Pronouns

he/his she/hers they/theirs
Child's Gender Identification
Birth Date

Month Day Year
Child's Age
School Grade
School and School System
Current Format of Schooling
Is there anything about your child that would be helpful for our program to know (health, behavior, special needs, food allergies, etc)?
Please share any gifts, talents, passions, interests, or anything else you would like us to know about this child.
If Child is a Youth [Grade 7-12] their E-mail
example@example.com
If Child is a Youth [Grade 7-12] their Phone Number

Area Code Phone Number

Child # 5
Full Name

First Name Last Name
Child's Gender Pronouns

he/his she/hers they/theirs
Child's Gender Identification
Birth Date

Month Day Year
Child's Age
School Grade
School and School System
Current Format of Schooling
Is there anything about your child that would be helpful for our program to know (health, behavior, special needs, food allergies, etc)?
Please share any gifts, talents, passions, interests, or anything else you would like us to know about this child.
If Child is a Youth [Grade 7-12] their E-mail
example@example.com
If Child is a Youth [Grade 7-12] their Phone Number

Area Code Phone Number

UUFWC Religious Education Registration