2018/2019 UUCM RE Registration
All participants in the UUCM Religious Education program must be registered.  Thank you in advance for providing the information below.
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Primary Contact Information
Primary Email *
Primary Phone *
###-###-#### format please
Please Choose Which Class Time You'll Attend: *
Please note, we will cancel or combine any classes that have >3 participants.
Child/Children’s Primary Address
Primary Street Address *
Primary City, State & Zip code *
Child/Children’s Secondary Address (if applicable)
Secondary Street Address
Secondary City, State & Zip Code
Parent/Guardian #1 Information
PG1 First name *
PG1 Last Name *
PG1 Cell Phone
###-###-#### format please
PG1 Work Phone
###-###-#### format please
PG1 Email
Parent/Guardian #2 Information
PG2 First Name
PG2 Last Name
PG2 Cell Phone
###-###-#### format please
PG2 Work Phone
###-###-#### format please
PG2 Email
Photo Permission
I agree that my child’s/children's (non-identifying) photograph can be used in UUCM publications including print and electronic media. *
How You Will Get Involved
The RE program NEEDS adult volunteers to help it flourish. Please indicate how your family will help support us. In order to have a successful school year, we ask that ALL families either volunteer at least FIVE times in a classroom setting as a classroom assistant or choose to volunteer in other ways. Such as during special events or as the classroom community event coordinator.

***Special Notes:
Any 9:30 am classroom with less than 3 participants is subject to get canceled/combined
Pre-K, 8th Grade, and 9th Grade (Coming of Age) meets ONLY at 11:15 AM
Senior Youth meets ONLY at 10:30 AM

Team Teacher:  
You don't need teaching experience to help teach a class, just a willingness to work on a collaborative team for an engaging full-school year. We will be asking teachers to coordinate on a rotating schedule; up to 12 Sundays.

Classroom Community Event Coordinator:
Volunteer will plan and coordinate at least 2 outside events and classroom parties for holidays and socializing.

I would like to support the RE program by *
Please choose the ways you are willing to participate. *You don't have to have any teaching experience to teach a class. *
Required
If you indicated that you would teach above, would you like to also take on the role of a Teaching Team Coodinator? *
One teacher from each team will serve in this role.  Teaming Team  Coordinators will be a liaison for the R.E committee to teaching team and provide support for the teaching teams, keep parents informed of class information through weekly emails,  and coordinate the classroom social justice project(s).
I chose Special Events
Please choose one or more ways you are willing to participate. (Please choose other if you want to suggest a type of community event you would like to see and help out with. Any idea is welcomed and appreciated some examples include a cultural diversity day or famous UUs living museum)
I chose Gifts and Talents
Please choose one or more ways you are willing to participate. (Please choose other if you want to suggest a type of community event you would like to see and help out with. Any idea is welcomed and appreciated some examples include a cultural diversity day or famous UUs living museum)
Name of person(s) from your family supporting in the above-specified role *
In the box below type the name followed by the role or roles
As a Volunteer you need to adhere to our Code of Ethics *
Code of Ethics Statement: The relationship between young people and their leaders is based on natural respect. As an adult in a leadership role, I will provide for the nurture, care and support of the children and youth. I will refrain from engaging in behavior that is harmful to their physical, emotional or spiritual development. I affirm that there is nothing in my background that would call into question my being entrusted with the supervision, guidance and care of children and youth. I affirm that I have never been convicted of a crime or offense involving unlawful conduct, assault, or endangering the welfare of a child, nor has it been determined by a court or child welfare agency that I have abused a child. I understand that to protect the children and youth, myself, and this congregation, that there must be a minimum of 2 adults in each classroom. Should I be disallowed to work with children or youth, I realize that I shall have no recourse against the ministerial staff.
Child #1
Child 1 First Name *
Child 1 Last Name *
Child 1 Date of Birth *
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Child 1 Regular School Grade Level for next September *
Child 1 RE Class for next September *
Child 1 Class Time *
(NOTE: Pre-K, 8th Grade, and 9th Grade (Coming of Age) meets at 11 AM; Senior Youth meets at 10:30 AM)
Child 1 IMPORTANT INFORMATION (Allergies, Medical Conditions, Learning Difficulties, etc.):
Child #2
Child 2 First Name
Child 2 Last Name
Child 2 Date of Birth
MM
/
DD
/
YYYY
Child 2 Regular School Grade Level for next September
Child 2 RE Class for next September
Child 2 Class Time
(NOTE: Pre-K, 8th Grade, and 9th Grade (Coming of Age) meets at 11 AM; Senior Youth meets at 10:30 AM)
Clear selection
Child 2 IMPORTANT INFORMATION (Allergies, Medical Conditions, Learning Difficulties, etc.):
Child #3
Child 3 First Name
Child 3 Last Name
Child 3 Date of Birth
MM
/
DD
/
YYYY
Child 3 Regular School Grade Level for next September
Child 3 RE Class for next September
Child 3 Class Time
(NOTE: Pre-K, 8th Grade, and 9th Grade (Coming of Age) meets at 11 AM; Senior Youth meets at 10:30 AM)
Clear selection
Child 3 IMPORTANT INFORMATION (Allergies, Medical Conditions, Learning Difficulties, etc.):
Child #4
Child 4 First Name
Child 4 Last Name
Child 4 Date of Birth
MM
/
DD
/
YYYY
Child 4 Regular School Grade Level for next September
Child 4 RE Class for next September
Child 4 Class Time
(NOTE: Pre-K, 8th Grade, and 9th Grade (Coming of Age) meets at 11 AM; Senior Youth meets at 10:30 AM)
Clear selection
Child 4 IMPORTANT INFORMATION (Allergies, Medical Conditions, Learning Difficulties, etc.):
Child #5
Child 5 First Name
Child 5 Last Name
Child 5 Date of Birth
MM
/
DD
/
YYYY
Child 5 Regular School Grade Level for next September
Child 5 RE Class for next September
Child 5 Class Time
(NOTE: Pre-K, 8th Grade, and 9th Grade (Coming of Age) meets at 11 AM; Senior Youth meets at 10:30 AM)
Clear selection
Child 5 IMPORTANT INFORMATION (Allergies, Medical Conditions, Learning Difficulties, etc.):
Child #6
Child 6 First Name
Child 6 Last Name
Child 6 Date of Birth
MM
/
DD
/
YYYY
Child 6 Regular School Grade Level for next September
Child 6 RE Class for next September
Child 6 Class Time
(NOTE: Pre-K, 8th Grade, and 9th Grade (Coming of Age) meets at 11 AM; Senior Youth meets at 10:30 AM)
Clear selection
Child 6 IMPORTANT INFORMATION (Allergies, Medical Conditions, Learning Difficulties, etc.):
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