UUFCC RE Family Registration Form 2023-2024

UUFCC is here to support your family in religious education!

Please take a moment to let us know how you would like to be connected to our community and how we can support your family!

We are Unitarian Universalists -- we are creative, loving people and we are here to grow and learn together!

Warmly,
Ashley Hamlin
Director of Lifespan Religious Education
UU Fellowship of Centre County

My family/children would like to participate in the following (check all that apply) - all UUFCC groups and activities will follow approved Covid guidelines: Sunday morning RE classes Youth Group meetings and events RE Hour activities We/my children would like to participate in intergenerational worship services OWL classes Children's choir/playing for services Other (please specify below)

(If Other) Please specify another connection option that you are interested in.

Child/Youth Information

Child/Youth 1 Full Name

Child/Youth 1 Date of Birth

Child/Youth 1 Preferred Pronouns

Is Child/Youth 1 vaccinated for Covid?

Yes No

*Children are usually grouped by academic grade in our programs when possible. If you have any questions about placements, please contact the Director of Lifespan Religious Education ahamlin@uufcc.com

Child/Youth 1 Academic Grade*:

Child/Youth 1 Wellbeing: In what ways can we best support your child’s spiritual, mental and physical health needs in the program? (Also, any medical conditions, allergies or dietary restrictions)

Child/Youth 2 Full Name

Child/Youth 2 Date of Birth

Child/Youth 2 Preferred Pronouns

Is Child/Youth 2 vaccinated for Covid? Yes No

Child/Youth 2 Academic Grade:

Child/Youth 2 Wellbeing: In what ways can we best support your child’s spiritual, mental and physical health needs in the program? (Also, any medical conditions, allergies or dietary restrictions)

Child/Youth 3 Full Name

Child/Youth 3 Date of Birth

Child/Youth 3 Preferred Pronouns

Is Child/Youth 3 vaccinated for Covid? Yes No

Child/Youth 3 Academic Grade:

Child/Youth 3 Wellbeing: In what ways can we best support your child’s spiritual, mental and physical health needs in the program? (Also, any medical conditions, allergies or dietary restrictions)

Write in the above requested information for additional children or youth

Is there anything else you'd like to tell us about your family's needs at this time?

What are the most important things you hope your child(ren)/youth gain from our program? Relationships with UU friends Relationships with UU mentors A strong UU faith foundation A personal spiritual practice Understanding and practice of social justice work Literacy of other religions Other: (Please specify in box below)

(Other:)

Parent/Guardian Contact Information

Primary Parent/Guardian Name

Relationship to Child(ren)/Youth

Address

Phone

This address will receive a confirmation email

What is your preferred method of communication?

Email Text Physical mail

Secondary Contact Name

Secondary Contact Phone

Secondary Contact Email

Does Secondary Contact wish to be included in all RE communications? Yes No

What is Secondary Contact's preferred method of communication? Email Text Physical Mail

Membership and Stewardship

We hope you will consider volunteering some time to make our program a success. The UUFCC RE program is a collaborative effort that depends on the enthusiasm and support of our parents! There is a place below to indicate your preferences for volunteering.

Our RE program is an important part of the Fellowship's mission. It is supported entirely by funding from the congregation. It costs in excess of $75,000 annually. Please consider making a donation to the UUFCC operating budget (either one time or ongoing) to support your child’s participation in the RE program. Donate easily below or at UUFCC.com (the link is on the upper left, of the home page, at Give Online).

Primary parent/guardian UUFCC membership status

Pledging Member Longtime attending non-member Visitor/Non-member I am interested in becoming a member I am interested in getting more information on becoming a member

Volunteering Opportunities Teach RE classes Help with Middle School or High School Youth Groups Special Events Team Serve on the RE Council

Are there any special skills you think you could contribute to our RE programs? Do you lead yoga, meditation, like to read stories, play the guitar, sing, or love talking about kids movies and spirituality, or have some ninja-level social media skills?

OPTIONAL: If you would like to contribute to the UUFCC operating budget today, please enter the amount in the box below and provide your debit or credit card information at the end of this form.

Child Safety Background Checks
If you plan to volunteer as part of our RE team (encouraged for member/parents, we are a co-op!), the state of Pennsylvania requires that all adults working with children (including periodic volunteers) pass several background checks.

PA Child Abuse History Clearance
PA State Police Check
FBI fingerprinting or waiver
Mandatory Child Abuse Reporter Training Certificate

Your background checks I have a set of recent background checks (<5years old) and can provide the DLRE with a copy I don't have these currently (only needed if you are planning to volunteer)

Permissions and Additional Information

Photographic images of children participating in RE and other UUFCC activities are sometimes featured on the church website uufcc.com and in other church related online and print media. Children’s names are never published. If you wish to Opt-Out of this aspect of the program please select opt-out below.

(optional) UUFCC photo inclusion Opt out - no photos please

I grant permission for any above registered child/youth to be outside on the UUFCC property, to go on walking field trips, and to participate in related activities under the supervision of RE Volunteers. This does not give permission for field trips that involve the use of motor vehicles (driven by RE volunteers). This consent is valid through June 2023. *

In-person Permission

Yes No

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

UUFCC RE Family Registration Form 2023-2024

Description

Please Fix the Following