Religious Exploration Enrollment Form: 2011-2012.
You may enroll your children in the UUCL Religious Exploration using this online form. When you submit your family information by pressing the send button, you will return to this page with this message replaced with an acknowledgement.
| Parent(s)/Guardian Names | |
| Mailing Address (Street) | |
| Mailing Address (City/State/ZIP) | |
| Email for Parent | |
| Phone Number(s) | |
| Best Time to Reach | |
| Child 1 | |
| Full Name of Child 1: | |
| Date of Birth for Child 1 | |
| Select appropriate RE Group for Child 1 during 2011-2012. | |
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Infant/Toddler. (Under 3 years) Preschool/Kindergarten. 1st or 2nd grade. 3rd or 4th grade. 5th or 6th grade. 7th or 8th grade. High School. |
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| Email for Child 1(Optional) | |
| Child 2 | |
| Full Name of Child 2: | |
| Date of Birth for Child 2 | |
| Select appropriate RE Group for Child 2 during 2011-2012. | |
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Infant/Toddler. (Under 3 years) Preschool/Kindergarten. 1st or 2nd grade. 3rd or 4th grade. 5th or 6th grade. 7th or 8th grade. High School. |
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| Email for Child 2(Optional) | |
| Child 3 | |
| Full Name of Child 3: | |
| Date of Birth for Child 3 | |
| Select appropriate RE Group for Child 3 during 2011-2012. | |
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Infant/Toddler. (Under 3 years) Preschool/Kindergarten. 1st or 2nd grade. 3rd or 4th grade. 5th or 6th grade. 7th or 8th grade. High School. |
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| Email for Child 3(Optional) | |
| Child 4 | |
| Full Name of Child 4: | |
| Date of Birth for Child 4 | |
| Select appropriate RE Group for Child 4 during 2011-2012. | |
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Infant/Toddler. (Under 3 years) Preschool/Kindergarten. 1st or 2nd grade. 3rd or 4th grade. 5th or 6th grade. 7th or 8th grade. High School. |
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| Email for Child 4(Optional) | |
| Please list any allergies, learning styles, or special needs so that we can best help your child or children. | |
| Group photos are routinely taken during classes and special events. With parental permission, photos may be used on our website, printed in the church newsletter or displayed at church, without names or other identifying information. I give UUCL permission to publish photos of my child/children, without identifying information. |
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Yes, I give my permission. No, I do NOT give my permission. |
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| We ask that every family contribute to the youth RE program at UUCL. Together we can create a wonderful program. If you haven't already done so, please select a way to help out! | |
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I/we have already signed up. Preschool/Kindergarten Leader or Assistant. Studio Leader for 4 weeks. Guide working with one age group. Sunday Morning HS Leader. Middle School Youth Group Leader, (not during worship). High School Youth Group Leader, (not during worship). Service Project Planner. Snack Provider (in rotation). Special Event Planner. Serve on RE Committee, (monthly meeting and emails). Other or not sure. |
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Thank you! When you press the send button, this information will be sent to the Religious Exploration Director to enroll your child(ren) in the UUCL RE Program.
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