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?*

yesno
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 NameLast Name
Child's Pronouns

he/hisshe/hersthey/theirsOther
Child's Gender
Child's Age
Birth Date

MonthDayYear
School Grade
Please enter the year of the child's expected high school graduation:
School and School System
Current Format of Schooling
Is this child vaccinated against Covid-19? (optional question) This is not intended to be used as an exclusionary question, instead, it is just to be sure that we know what safety practices are best as we are given advice from the Fellowship's Re-opening Committee.

yesno
If they are not vaccinated against Covid-19, is there a date that you plan to have them vaccinated? (optional question)
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 CodePhone Number

Child # 2
Full Name

First NameLast Name
Child's Pronouns

he/hisshe/hersthey/theirsOther
Child's Gender
Birth Date

MonthDayYear
Child's Age
School Grade
Please enter the year of the child's expected high school graduation:
School and School System
Current Format of Schooling
Is this child vaccinated against Covid-19? (optional question) This is not intended to be used as an exclusionary question, instead, it is just to be sure that we know what safety practices are best as we are given advice from the Fellowship's Re-opening Committee.

yesno
If they are not vaccinated against Covid-19, is there a date that you plan to have them vaccinated? (optional question)
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 CodePhone Number

Child # 3
Full Name

First NameLast Name
Child's Pronouns

he/hisshe/hersthey/theirsOther
Child's Gender
Birth Date

MonthDayYear
Child's Age
School Grade
Please enter the year of the child's expected high school graduation:
School and School System
Current Format of Schooling
Is this child vaccinated against Covid-19? (optional question) This is not intended to be used as an exclusionary question, instead, it is just to be sure that we know what safety practices are best as we are given advice from the Fellowship's Re-opening Committee.

yesno
If they are not vaccinated against Covid-19, is there a date that you plan to have them vaccinated? (optional question)
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 CodePhone Number

Child # 4
Full Name

First NameLast Name
Child's Pronouns

he/hisshe/hersthey/theirsOther
Child's Gender
Birth Date

MonthDayYear
Child's Age
School Grade
Please enter the year of the child's expected high school graduation:
School and School System
Current Format of Schooling
Is this child vaccinated against Covid-19? (optional question) This is not intended to be used as an exclusionary question, instead, it is just to be sure that we know what safety practices are best as we are given advice from the Fellowship's Re-opening Committee.

yesno
If they are not vaccinated against Covid-19, is there a date that you plan to have them vaccinated? (optional question)
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 CodePhone Number

Child # 5
Full Name

First NameLast Name
Child's Pronouns

he/hisshe/hersthey/theirsOther
Child's Gender
Birth Date

MonthDayYear
Child's Age
School Grade
Please enter the year of the child's expected high school graduation:
School and School System
Current Format of Schooling
Is this child vaccinated against Covid-19? (optional question) This is not intended to be used as an exclusionary question, instead, it is just to be sure that we know what safety practices are best as we are given advice from the Fellowship's Re-opening Committee.

yesno
If they are not vaccinated against Covid-19, is there a date that you plan to have them vaccinated? (optional question)
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 CodePhone Number

UUFWC Religious Education Registration