Youth and Children’s Religious Education Registration Form Caregiver (Primary)* Is this an emergency contact?YesNo Phone typeCellHomeWork Caregiver (Secondary) Is this an emergency contact?YesNo Phone typeCellHomeWork Add Another Caregiver Is this an emergency contact?YesNo Phone typeCellHomeWork Child/ Youth Information Birthday Date* Pronouns* School Anticipated attendance:WeeklyMonthlyOccasionallyNot Sure Add Another Child Birthday Date* Pronouns* School Anticipated attendance:WeeklyMonthlyOccasionallyNot Sure Add Another Child Birthday Date* Pronouns* School Anticipated attendance:WeeklyMonthlyOccasionallyNot Sure Add Another Child Birthday Date* Pronouns* School Anticipated attendance:WeeklyMonthlyOccasionallyNot Sure Add Another Child Birthday Date* Pronouns* School Anticipated attendance:WeeklyMonthlyOccasionallyNot Sure Add Another Child Birthday Date* Pronouns* School Anticipated attendance:WeeklyMonthlyOccasionallyNot Sure Add Another Child Birthday Date* Pronouns* School Anticipated attendance:WeeklyMonthlyOccasionallyNot Sure Caregiver Religious Education Support* UUCA’s Religious Education (RE) program is a cooperative program that relies on the time and talents of many of caregivers like yourself. Please indicate how you would like to support your child’s program. Check all that apply: Sunday Substitute Teacher: Substitute and/or help in classrooms on an as-needed basis.Classroom Buddy: Aid a child/youth with special needs to fully participate in the RE programRE Greeter: Welcome and guide families to their RE classrooms.Special Program Helper: Assist with RE special programmingJoy Raisers!: A team of parents who plan large social events throughout the year Photo and Video Release*I give permission for images of my child, captured during RE activities through video, photo and digital camera, to be used solely for the purposes of UUCA promotional material and publications.
