Religious Education Children  //  RE Registration Form
Religious Education Registration
Household Name
Household Phone
Address
 City
State
 Zip Code

 

Parent/Guardian Cell Phone Work Phone Email*
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  1. * A confirmation e-mail will be sent to the primary adress in this column.

  2. For safety and planning purposes, ALL young people - (infant - high school) need to register. Childcare (infant – age 2) is provided at both services. To accommodate our growing enrollment, we will offer elementary RE classes at both services.

    Chalice Children (ages 2-3); Spirit Play (age 4 – 1st grade); Grades 2-3; and Grades 4-5 will meet at 9:15 and 10:45.

    Grades 6-7; Coming-of-Age (Grades 8-9); and Senior High Youth Group will meet at 10:45. Depending on enrollment, class offerings may be slightly revised. We will notify you of any changes prior to September. Thank you!

Child's Name Birthdate Grade Name of School Which RE Session?
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  1. 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:
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  1. Communications Consent
  1. Do you give consent for your child's photo and video image to be taken during activities in our RE program, to be used in displays at church, bulletin boards and newsletter?
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  1. Do you give permission for your child's image, work or interview to be used in a media release?
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  1. Medical Information
Medical Allergies:
Chronic illness or other medical conditions:
Other contact in case of emergency: Phone:
Insurance company
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Policy #
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ID #
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  1. Release

    On behalf of my child(ren), I hereby release and discharge CCUU from any claims from incidents which may occur during RE program activities. In the case of a medical emergency, I, as parent or guardian of the minor child(ren) registered, shall be immediately contacted by CCUU if and to the extent such contact is practicable. I do hereby give permission to the RE staff and volunteers of CCUU to give first aid and/to take my child either to the nearest medical facility, or to:

  2. Physician
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  3. Phone
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  4. I also give the physician and/or hospital permission for any and all procedures necessary for the treatment of my child(ren). This release and consent shall be effective until revoked in writing by the undersigned. Please enter your name and date as a signature.
  5. Parent/Guardian
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  6. Date
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  7. Note: A physical signature may be requested at your earliest convenience at church.
  1. Volunteer Commitment

    Our religious education program is a cooperative effort to nurture the spiritual growth of our young people! The vitality of our program depends upon everyone's support.

    Each registered family is asked to volunteer at least 6 hours each year.

  2. Volunteer Opportunities
Options Name of Adult Preference  
RE Teacher
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Classroom Assistant
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RE Social Action Team
Help plan and lead RE Social Action Sundays (last Sundays of the month)
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RE Holiday
Help plan and lead Halloween; Christmas; Hanukkah; Easter celebrations.
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Office Help
phone calls; mailings; brochure design; data entry
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Special Gifts
Check all that apply
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Integenerational Worship Team
help plan Winter Holiday, Earth Day and other Family worship services
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RE Library
help update RE catalog and track resources checked out
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Summer RE Teacher
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  1. Thank you so much!
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