Mount Vernon Unitarian Church
Religious Education Registration
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Today's Date Yes     First time registration for MVUC Sunday School
No
   

2007/08

 

STUDENT NAME(S)

   BIRTH DATE   

YOUTH E-MAIL

SCHOOL GRADE

SCHOOL

 

Please check one - We prefer to attend the 9:30 a.m. First Service
                              We prefer to attend the 11:15 a.m. Second Service

Please check one - We prefer to receive RE communications by E-mail rather than on paper through postal mail.
                              We prefer to receive RE communications on paper through postal mail.

 

Parent/Guardian Information

Primary Contact
                 
Last Name,  First Name

Street

City, State, Zip

     
               
Home Phone        Work Phone                  

                       
E-mail address
        
                 
Last Name,  First Name

Street

City, State, Zip

     
               
Home Phone        Work Phone                  

                       
E-mail address

Ours is a cooperative Religious Education (RE) program. In addition to support of the RE program through pledges or direct financial contributions, parents are also expected to contribute some of their time and effort to RE. Please sign up for AT LEAST ONE of the following: Use initials to indicate which adult is volunteering. Thank you!

  Teach on Sunday morning   Be a substitute teacher
  High School Youth Advisor    Help with Winter Holiday Play
  Help with Children's Worship   Serve on the Religious Education Council and help with planning and implementing policy decisions and program direction
  Help with Intergenerational special events such as the Big Boo Party or the Holiday Craft Workshop

Indicate any special interests or skills you would like to offer:

 

Special Needs

Please indicate if your child has any special needs (e.g., allergies, physical limitations, learning disabilities, chronic health conditions or is taking medication which affects his or her behavior) so that we can prepare properly. Use the area below to explain. This information will be provided verbatim to your child's teacher. Thank you.

Optional:  You may complete the following medical information form, which will be used in connection with field trips and off-campus activities during 2007-08.   If completed, you may avoid submitting this info for each field trip if you check the “current information filed electronically with RE Registration” box on each field trip permission form. If you have more than one child in RE, please indicate the child's name that goes with the information, e.g., John:0123456  Susie:0123457.

My child's  health insurance provider is:
The person who is the primary name on the policy is:
My child’s medical record number is:
Youth’s known allergies/medical concerns:
Medication taken regularly:

 

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