Children's Religious Education Registration (September 2022-September 2023)

Child's Name

Child's Birth Date

What grade is your child going into in Fall 2021?

Child's pronouns (ex: he/him/his, she/her/hers, they/them/theirs)

Are there any learning needs, health concerns or allergies that we should know about?

Who has permission to drop off and pick up your child?

Is there anyone who should NEVER pick up your child?

Parent / Guardian #1

Relation to the Child

This address will receive a confirmation email

Cell Phone

Pronouns (e.g., she/her/hers; they/them/theirs; he/him/his)

Address

Parent / Guardian #2

Relation to the Child

Cell Phone

Pronouns (e.g., she/her/hers; they/them/theirs; he/him/his)

Address

Two More Things

Who else is in the family? (Siblings, grandparents, pets, etc.)

Additional comments, notes and things we need to know:

Description

Chalice Unitarian Universalist Congregation requires a completed registration form for every child who attends our classes. There are four sections to this form--please be sure to fill out all four sections. Once the form has been submitted, our Director of Family Ministries, Chris O'Connor, will contact you as soon as possible to confirm your registration.

Children's Religious Education Registration (September 2022-September 2023)

Description

Please Fix the Following