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.

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    Yes, photos may appear online.No, do not publish photos online.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