2024-2025 RE Registration Form
Please fill out this form and click submit.
Dear Parents,
We will offer RE classes in person at the barn for the 2024-2025 church year. We are using a curriculum called Souls Matter with a different
theme's
each month.
It's important that all families register to assist in planning.
Linda Bowser is our Nursery teacher for ages birth-3 years old. Sam Smith is our primary teacher.
Date
*
Parent Consent - PCUUC, RE personnel have my permission to treat and/or transport my child to the appropriate medical facility in the event of a medical emergency. This applies to when we meet in-person.
*
Please select one option.
YES
NO
Parent Consent - PCUUC has permission to post photographs of my child on its Internet website, PCUUC Facebook Page and/or PCUUC Church Brochures. No names will be used.
*
Please select one option.
YES
NO
Parent/Guardian Information
Parent/Guardian #1 Registration
*
Please select all that apply.
Father
Mother
Parent
Grandparent
Guardian
Other
Parent/Guardian #1 First & Last Name
*
Cell Phone Sunday AM
*
Email for RE info
*
This address will receive a confirmation email
Alternate Phone
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent/Guardian #1 Volunteer Areas
*
Please select all that apply.
Teacher
Assistant
Serve on RE Committee
Other
Parent/Guardian #2 Registration
Please select all that apply.
Father
Mother
Guardian
Grandparent
Other
Parent/Guardian #2 First and Last Name
Cell Phone Sunday AM
Email for RE Info
Alternate Phone
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent/Guardian #2 Volunteer Areas
Please select all that apply.
Teaching
Assistant
RE Committee
Other
Student #1 Information
Student Name #1
*
Date of Birth
*
Special needs, medical conditions, food allergies, environmental allergies or other areas of concern that we should be aware of (If none, please indicate none):
*
Do you have any teaching tips/advice that will allow us to provide the best possible experience for your child?
*
Student #2 Information
Student Name #2
Date of Birth
Special needs, medical conditions, food allergies, environmental allergies or other areas of concern that we should be aware of (If none, please indicate none):
Do you have any teaching tips/advice that will allow us to provide the best possible experience for your child?
Student #3 Information
Student Name #3
Date of Birth
Special needs, medical conditions, food allergies, environmental allergies or other areas of concern that we should be aware of (if none, please indicate none):
Do you have any teaching tips/advice that will allow us to provide the best possible experience for your child?
Student #4 Information
Student Name #4
Date of Birth
Special needs, medical conditions, food allergies, environmental allergies or other areas of concern that we should be aware of (if none, please indicate none):
Do you have any teaching tips/advice that will allow us to provide the best possible experience for your child?
Other Comments:
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following
