Religious Education Registration

Photo of child

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Legal Name of Child

Date of Birth

What does your child like to be called?

Child's pronouns

Does your child have any allergies or dietary restrictions?

Does your child have any medical, emotional or behavioral needs that staff and volunteers should be aware of?

Anything else that might be helpful for staff and volunteers to be aware of?

Photos: On occasion, the RE program likes to post pictures of what students are doing in class. Full names are not attached to the images. May we have your permission to do this?

YES, my child's image may be posted on the UUFM website and social media (without their name), such as Facebook, Instagram, and YouTube. NO, my child's image may not be posted on the UUFM website and social media.

Primary address of child

Secondary address of child, if applicable

Name of parent/guardian 1

Email of parent/guardian 1

This address will receive a confirmation email

Phone of parent/guardian 1

Address of parent/guardian 1

Parent/Guardian 1 Preferred method of communication Email Text Phone call

Name of parent/guardian 2

Email of parent/guardian 2

This address will receive a confirmation email

Phone of parent/guardian 2

Address of parent/guardian 2 (if different)

Parent/Guardian 2 Preferred method of communication Email Text Phone Call

Name of additional caregiver/emergency contact

Email of additional caregiver / emergency contact

This address will receive a confirmation email

Phone of additional caregiver / emergency contact

Address of additional caregiver / emergency contact

Additional caregiver / emergency contact preferred method of communication Email Text Phone Call

Any comments, questions or suggestions for the RE Team?

Religious Education Registration

Description

Please Fix the Following