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Please use this form to register your children for our RE program. Not all course sections are offered at each service time. Please use the RE contact form (at the left) if you have questions about the most appropriate placement for your children. * indicates required information. |
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| Parent/Guardian Name(s) (*) |
Please type your name. |
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| Address (*) |
Please enter your street address. |
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| City, State, Zipcode (*) |
Please enter your city, state and zipcode |
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| E-mail (*) |
Invalid email address. |
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| Phone |
Invalid Input |
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| Preferred Service Time (*) |
Please select first or second service. |
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| Photographs of my child(ren) may be posted on our website from time to time (no names attached). (*) |
Please choose yes or no. |
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First and Last Name of Children |
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| Child 1 (*) |
Invalid Input |
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| Child 2 |
Invalid Input |
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| Child 3 |
Invalid Input |
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Birth Date(s) |
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| Child 1 (*) |
Invalid Input |
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| Child 2 |
Invalid Input |
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| Child 3 |
Invalid Input |
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Grade Level |
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| Child 1 (*) |
Invalid Input |
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| Child 2 |
Invalid Input |
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| Child 3 |
Invalid Input |
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| Special Needs of child(ren) (allergies, medications, behavioral issues, concerns). If none, enter 'none' (*) |
Please specify special needs if any, or type none. |
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Parent/Guardian Participation
There is no fee for religious education at UUCW because each family volunteers in some capacity and also contributes to the UUCW general operating fund through pledge or envelope donations. Thank you!! |
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| Choose One (*) |
Please choose how you would like to help. |
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Invalid Input
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| Comments |
Invalid Input |
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13001 West North Avenue