Children  //  RE Registration Form
2010/2011 Religious Education Registration
Household Name:
Household Phone:
Address:
City:
State:
Zip Code:
Parent/Guardian
Cell Phone
Work Phone
Email *
For planning purposes and safety, ALL young people - (infant - high school) need to register. Childcare will be provided at both services. RE Classes for young people ages 2-8th grade will be offered at 9:30; depending on enrollment, one or two mixed-age RE classes will be offered at 11:15am. Senior High youth group will meet at 11:00am.
Child's Name
Birthdate
Grade
Name of School
Which RE session?
* A confirmation email will be sent to the primary address in this column
SPECIAL NEEDS:
Please describe any special needs (learning challenges, food allergies, health concerns or other situations of which we should be aware). Please describe any techniques for dealing with your child's situation that may be helpful for us to know: