Welcome to Religious Education at Unitarian Universalists of the Cumberland Valley.
Please fill out the following information to register your child/children ages 0-18 for our Religious Education programs available September through May.

Parent/Guardian

Name (required)

Email (required)

Cell Phone (required)

Alternate Phone

cellhomework

Emergency Contact

Name (required)

Email (required)

Best Phone (required)

cellhomework

Alternate Phone

cellhomework

Authorized Drivers

List names of adults who have permission to pick up your child/children from RE programs. Please note they may be asked for ID at pick-up.

Participating children

Child #1

Name

Pronouns

Grade

Age

Date of Birth

Special notes, allergies, medical information, etc.

Child #2

Name

Pronouns

Grade

Age

Date of Birth

Special notes, allergies, medical information, etc.

Child #3

Name

Pronouns

Grade

Age

Age/Grade

Date of Birth

Special notes, allergies, medical information, etc.

Child #4

Name

Pronouns

Grade

Age

Date of Birth

Special notes, allergies, medical information, etc.

Parent Participation

We are able to offer this program only through the efforts of many volunteers. We especially rely on the team of parents to provide quality Religious Education. Please indicate below how you can support the Children's Religious Education program this year.

Nursery childcareChildren Ages 4-10 teaching teamMiddles Ages 10-13 teaching teamYUUth teacherMoment for All Ages in worshipRE Committee

Other:

Photo Permission

Do you give permission for photos of your child/children to be used for promotional purposes for UUCV? Images may appear in social media, website, emails, and advertisements.

Yes, photos may appear online.No, do not publish photos online.

Electronic Signature

Date