RE Family Registration

Children & Youth Program Registration
For safety and administrative reasons, the Children and Youth Religious Education Program asks that you complete one registration form per family.
Section 1: Parent/Guardian Information
Parent/Guardian #1(required)
Email(valid email required)
Address(required)
CityAustin(required)
State(required)
Zip(required)
Phone number (home)
Phone number (work)
Phone number (mobile)
If the child does not have any other parents or guardians, please continue to Section 2, Child Information. Otherwise, please enter the information for any additional parents or guardians below.
Parent/Guardian #2
Email(valid email required)
Address
City
State
Zip
Phone number (home)
Phone number (work)
Phone number (mobile)
Parent/Guardian #3
Email
Address
City
State
Zip
Phone number (home)
Phone number (work)
Phone number (mobile)
Section 2: Child Information
Child(ren) live with
Parent / Guardian 1 Parent / Guardian 2 Parent / Guardian 3 Other (see below)
If other, please indicate the name of the person the child(ren) live with.
Last Name of Child #1
(required)
First Name(required)
Birth Date(required)
Age(required)
Gender(required)
Grade (as of September of the current school year) (required)
PreK (3 and 4 yr olds) and Kindergarten - 5th grades have the choice of attending RE Classes during either service. Please indicate the service your child will attend the majority of time. Children may attend both hours and/or different hours than indicated — we ask this only for general planning purposes. Thank you. (required)
If there are no additional children under the age of 18 in your household, please continue on to Section 3, Additional Information. Otherwise, please complete the information for any other children below.

Last Name of Child #2

First Name

Birth Date

Age

Gender

Grade (as of September of the current school year)

Service time

Last Name of Child #3

First Name

Birth Date

Age

Gender

Grade (as of September of the current school year)

Service time

Last Name of Child #4

First Name

Birth Date

Age

Gender

Grade (as of September of the current school year)

Service time

Section 3: Additional Information

Indicate any personal concerns you want the IDLRE to know about, i.e. allergies, developmental issues, etc.

Media Permission: Please select YES if you give the Religious Education program permission to represent you child(ren) in various media (photos, printed, audio, video, bulletin boards, etc.) created by and for First UU Austin. Please Note: We will never include names of children(required)

Safety/protection Permission: Please select YES if you give the Religious Education program permission to apply products such as bug spray and sunscreen during outdoor activities (6 months — 5 years old only)(required)

Records: I understand that the RE Staff has permission to view this material for safety and administrative reasons. I also give permission to:

RE Volunteers(required)

Children/Youth Programming Committee Chairs:(required)

The information provided on this form is correct. I understand that by submitting this form I am registering my family to be a part of the RE community. I understand that by providing my e-mail address. I am agreeing to receive messages from the Registered Families Google Group. By typing my name below, I am indicating that I agree to all of the statements above. (required)

Please type the characters that you see in the image for verification.

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First Unitarian Universalist Church of Austin

RE Family Registration

Section 1: Parent/Guardian Information

Parent/Guardian #2

Parent/Guardian #3

Section 2: Child Information

Last Name of Child #1

Last Name of Child #2

Last Name of Child #3

Last Name of Child #4

Section 3: Additional Information

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