Mountain Light Unitarian Universalist Church
Youth Religious Education Registration

Names(s) and age(s) of children: __________________________________________

________________________________________________________________________

________________________________________________________________________

Name of parent(s)/guardian(s):____________________________________________________

________________________________________________________________________

Address: _______________________________________________________________

Phone: (H)_________________ (C) _________________________

E-Mail: ___________________________________________________

Any allergies, health, or medication issues we need to be aware of:

________________________________________________________________________

Primary MD: _______________________ Phone number: ________________

Your child's interests, skills, and/or talents: _________________________________

________________________________________________________________________

Has your child attended another church or do you have any special religious/spiritual practices?

________________________________________________________________________

Anything else you'd like us to know about your child:
________________________________________________________________________

Are there any special topics or themes you would like to have included in our RE program:

________________________________________________________________________

Can we use your child's picture:
_____ on our bulletin board at church
_____ in printed church material
_____ on our church web page
_____ on our social media pages

** Parents: Check if you are interested in the following:
_____ helping to plan Youth Sunday activities
_____ assisting the RE leaders with the pre-planned activities
_____ attending family or intergenerational church events on week nights or weekends
_____ donating materials/snacks for Youth Sundays
_____ other: ___________________________________________________________

Please feel free to add any comments or suggestions below.