2023-24 Youth RE Registration - DuPage Unitarian Universalist Church

2023/24 Youth RE Registration

Infant – Twelfth Grade at 10:15 a.m. Please register all children (infants through high school). Children through age three will have supervised care. Registration is Free.

Parent/Guardian Name 1(Required)

First Last

Phone 1(Required)

Parent/Guardian Name 2

First Last

Phone 2

Address(Required)

Street Address City State ZIP Code

E-mail Address (emails will be sent to all addresses listed)(Required)

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Children and Youth Information

Child 1 Name(Required)

First Last

Birth Date (1)(Required)

Child 2 Name

First Last

Birth Date (2)

Child 3 Name

First Last

Birth Date (3)

Child 4 Name

First Last

Birth Date (4)

Child 5 Name

First Last

Birth Date (5)

List any allergies or behavioral/medical conditions your child(ren) may have that we should know about & how to respond. What medication (if any) is your child taking that we should know about? (not necessary if previously submitted)

Please indicate any extra programs that your youth would like to participate in. Place the abreviation listed below next to their name.

(CL) Chalice Lighter 3rd – 6th grade ::: (SP) Spark! 3rd – 5th Grade Social Group ::: (FIRE) Middle School Social Group —- (see brochure or website for more info)

Media Permission

Yes, I give the church permission to publish images or video with my children

No, the church does not have permission to publish images of my children

Please contact me

We would like to publish pictures or videos on our website or YouTube to show visitors what our church is like. Some of these pictures may contain children and youth from our religious education program. We will not publish pictures with close-up shots of children and we will not publish names.

Parent Covenant

We expect that parents, trusting in us to share their concern for their children’s moral and spiritual well-being will support and assist our efforts in the following way: being committed to your child’s regular participation, according to your family situation; informing yourself about the activities of the R.E. Program and conversing about them with your child at home; and sharing time and skills with the R.E. Program. We ask each parent to make a commitment as well as to provide occasional assistance when needed.(Required)

I agree

Youth Musicians

There are many opportunities for youth to share their musical talents. Please list the child, their talent and the number of years that they have been playing.

Volunteer

I would like to volunteer in the Youth Religious Education program:

Teaching

Substitute Teacher

Join Youth RE Team

Provide help during special events

Help with Spark! or FIRE